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1063863959
ANDREA CLARK
SAINT LOUIS, MO
NPI
1063863959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: MO 133VN1004X)
Enumeration Date
2016-06-22
Last Update Date
2016-06-22
Business Address
-- ANDREA CLARK RD, LD
1 CHILDRENS PL FOOD AND NUTRITION LS-15
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-2648
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Mailing Address
-- ANDREA CLARK RD, LD
1 CHILDRENS PL FOOD AND NUTRITION LS-15
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-2648
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