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1043686249
KANDISS KAMILLE JAMES
FLORISSANT, MO
NPI
1043686249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
282E00000X
(Licence: MO 2013016439)
Enumeration Date
2015-08-11
Last Update Date
2015-08-11
Business Address
Ms. KANDISS KAMILLE JAMES R.N.
3540 CYPRESS CREEK DR
FLORISSANT, MO 63031-1340
Phone number: 618-530-5238
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Mailing Address
Ms. KANDISS KAMILLE JAMES R.N.
3540 CYPRESS CREEK DR
FLORISSANT, MO 63031-1340
Phone number: 618-530-5238
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