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1053943522
SAMANTHA CHARLETTA MCCOY
SAINT LOUIS, MO
NPI
1053943522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2006011721)
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
Ms. SAMANTHA CHARLETTA MCCOY LPN
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
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Mailing Address
Ms. SAMANTHA CHARLETTA MCCOY LPN
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
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