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1053963470
STEPHANIE MICHELLE TATE-PATTERSON
EAST SAINT LOUIS, IL
NPI
1053963470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209019511)
Enumeration Date
2019-07-16
Last Update Date
2019-07-16
Business Address
STEPHANIE MICHELLE TATE-PATTERSON NP
4901 STATE ST
EAST SAINT LOUIS, IL 62205-1356
Phone number: 618-646-3700
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Mailing Address
STEPHANIE MICHELLE TATE-PATTERSON NP
26 CLARK DR
FAIRVIEW HEIGHTS, IL 62208-1618
Phone number: 618-593-4140
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