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1114381563
KATHLEEN B SHAUGHNESSY
SAINT LOUIS, MO
NPI
1114381563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO 2015037591)
Enumeration Date
2016-04-12
Last Update Date
2016-04-12
Business Address
-- KATHLEEN B SHAUGHNESSY CPNP
9580 WATSON RD STE A
SAINT LOUIS, MO 63126-1539
Phone number: 314-965-5437
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Mailing Address
-- KATHLEEN B SHAUGHNESSY CPNP
PO BOX 23340
SAINT LOUIS, MO 63156-3340
Phone number: 314-965-5437
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