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1104483379
TAMARA JOAN RUNGE
SAINT LOUIS, MO
NPI
1104483379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO 2019013005)
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
TAMARA JOAN RUNGE
3535 S JEFFERSON AVE STE 118
SAINT LOUIS, MO 63118-3907
Phone number: 314-773-1822
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Mailing Address
TAMARA JOAN RUNGE
9847 CRESTWICK DR
SAINT LOUIS, MO 63128-1136
Phone number: 314-704-4737
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