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1053755587
SHAMEKA NICOLE JEFFERSON
SAINT LOUIS, MO
NPI
1053755587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2011039305)
Enumeration Date
2013-04-26
Last Update Date
2013-04-26
Business Address
Mrs. SHAMEKA NICOLE JEFFERSON
7614 PENNSYLVANIA AVE
SAINT LOUIS, MO 63111-3314
Phone number: 314-473-9175
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Mailing Address
Mrs. SHAMEKA NICOLE JEFFERSON
7614 PENNSYLVANIA AVE
SAINT LOUIS, MO 63111-3314
Phone number: 314-473-9175
Copy
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