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1063105120
DEVON T KNUPP
SAINT LOUIS, MO
NPI
1063105120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2023024713)
Enumeration Date
2023-06-02
Last Update Date
2023-06-29
Business Address
DEVON T KNUPP FNP
10426 BAUR BLVD
SAINT LOUIS, MO 63132-1905
Phone number: 314-925-0903
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Mailing Address
DEVON T KNUPP FNP
2326 WINDSOR CASTLE DR
IMPERIAL, MO 63052-2014
Phone number: 636-692-3012
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