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1114594736
AIREAL SHASAUNDAI BISHOP
BRIDGETON, MO
NPI
1114594736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MO 2020041038)
Enumeration Date
2021-06-10
Last Update Date
2023-02-23
Business Address
AIREAL SHASAUNDAI BISHOP Np
12800 BOENKER LN
BRIDGETON, MO 63044-2438
Phone number: 314-467-8506
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Mailing Address
AIREAL SHASAUNDAI BISHOP Np
12800 BOENKER LN
BRIDGETON, MO 63044-2438
Phone number: 314-467-8506
Copy
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