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1083153787
ALANTE Q GHANNAM
SAINT LOUIS, MO
NPI
1083153787
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Former Name
ALANTE QUANAI FLETCHER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2017000787)
Enumeration Date
2017-02-15
Last Update Date
2017-02-15
Business Address
-- ALANTE Q GHANNAM FNP
1027 BELLEVUE AVE STE 107
SAINT LOUIS, MO 63117-1851
Phone number: 314-645-3743
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Mailing Address
-- ALANTE Q GHANNAM FNP
PO BOX 23340
SAINT LOUIS, MO 63156-3340
Phone number: 314-645-3743
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