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1093393977
KAYARA LACINE UPCHURCH
SAINT LOUIS, MO
NPI
1093393977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: MO 2001023410)
Enumeration Date
2021-03-31
Last Update Date
2021-03-31
Business Address
Prof. KAYARA LACINE UPCHURCH
225 WEDGE DR
SAINT LOUIS, MO 63135-2242
Phone number: 314-701-0100
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Mailing Address
Prof. KAYARA LACINE UPCHURCH
9729 PORTAGE DR
SAINT LOUIS, MO 63136-5311
Phone number: 612-369-7082
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