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1023309200
STEPHANIE LICKERMAN
CHESTERFIELD, MO
NPI
1023309200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: MO 2011006713)
Enumeration Date
2011-04-22
Last Update Date
2014-10-02
Business Address
STEPHANIE LICKERMAN APRN, ANP-BC
121 SAINT LUKES CENTER DR STE 303
CHESTERFIELD, MO 63017-3509
Phone number: 314-434-3278
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Mailing Address
STEPHANIE LICKERMAN APRN, ANP-BC
121 SAINT LUKES CENTER DR STE 303
CHESTERFIELD, MO 63017-3509
Phone number: 314-434-3278
Copy
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