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1013011741
ANDREA LASHELLE BRUCE
ST LOUIS, MO
NPI
1013011741
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Former Name
ANDREA LASHELLE DEAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2005017822)
Enumeration Date
2006-09-12
Last Update Date
2007-07-08
Business Address
Mrs. ANDREA LASHELLE BRUCE LPN
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112-4265
Phone number: 314-367-5820
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Mailing Address
Mrs. ANDREA LASHELLE BRUCE LPN
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112-4265
Phone number: 314-367-5820
Copy
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