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1053698969
LAURA ANN BENACK
SAINT PETERS, MO
NPI
1053698969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MO 2011036334)
Enumeration Date
2011-11-05
Last Update Date
2015-06-24
Business Address
Mrs. LAURA ANN BENACK NP
150 ENTRANCE WAY
SAINT PETERS, MO 63376-1645
Phone number: 636-916-9920
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Mailing Address
Mrs. LAURA ANN BENACK NP
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141-8573
Phone number: 636-916-9920
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