BLAIR A THEIS

FESTUS, MO
NPI1013568120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  2013035893)
Enumeration Date2019-09-20
Last Update Date2022-02-24
Business Address
BLAIR A THEIS
35 GOODWIN DR
FESTUS, MO 63028-4122
Phone number: 636-933-4141
Mailing Address
BLAIR A THEIS
35 GOODWIN DR
FESTUS, MO 63028-4122
Phone number: 636-933-4141
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