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1083163505
KRISTEN LYNN MAIN
SAINT LOUIS, MO
NPI
1083163505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2016013313)
Enumeration Date
2016-09-26
Last Update Date
2022-01-28
Business Address
KRISTEN LYNN MAIN FNP-C
2121 BARRETT STATION RD
SAINT LOUIS, MO 63131-1606
Phone number: 314-394-1923
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Mailing Address
KRISTEN LYNN MAIN FNP-C
9323 PHOENIX VILLAGE PKWY
O FALLON, MO 63368-4281
Phone number: 636-561-0871
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