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1073255030
STEPHANIE BURGESS
SAINT LOUIS, MO
NPI
1073255030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 200419786)
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
STEPHANIE BURGESS LPN
4066 DUNNICA AVE
SAINT LOUIS, MO 63116-3510
Phone number: 636-224-1700
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Mailing Address
STEPHANIE BURGESS LPN
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303-4120
Phone number: 636-224-1210
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