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1053373696
TRACI N ST CLAIR
SPRINGFIELD, MO
NPI
1053373696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MO 2003002310)
Enumeration Date
2006-04-06
Last Update Date
2008-07-22
Business Address
-- TRACI N ST CLAIR P.A.-C.
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804-2227
Phone number: 417-820-5610
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Mailing Address
-- TRACI N ST CLAIR P.A.-C.
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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