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1003646795
EBITARI 0 FREGENE
WENTZVILLE, MO
NPI
1003646795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO 2024031047)
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
EBITARI 0 FREGENE DNP
115 GOLDEN GATE PKWY
WENTZVILLE, MO 63385-7288
Phone number: 314-397-7219
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Mailing Address
EBITARI 0 FREGENE DNP
115 GOLDEN GATE PKWY
WENTZVILLE, MO 63385-7288
Phone number: 314-397-7219
Copy
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