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1114103850
REBECCA DIANNE RAIC
SAINT LOUIS, MO
NPI
1114103850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO 110918)
Enumeration Date
2008-01-11
Last Update Date
2008-01-11
Business Address
Ms. REBECCA DIANNE RAIC MSN, RN, CPNP
1 CHILDRENS PL 7E19
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-4514
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Mailing Address
Ms. REBECCA DIANNE RAIC MSN, RN, CPNP
3278 COUNTRY HOLLOW DR
SAINT LOUIS, MO 63129-7029
Phone number: 314-487-0222
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