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1124172655
SHERYL LADONNA MATLOCK
ST LOUIS, MO
NPI
1124172655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2000149166)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Ms. SHERYL LADONNA MATLOCK
5471 DR MARTIN LUTHER KING DRIVE
ST LOUIS, MO 63112-4265
Phone number: 314-367-5820
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Mailing Address
Ms. SHERYL LADONNA MATLOCK
5471 DR MARTIN LUTHER KING DRIVE
ST LOUIS, MO 63112-4265
Phone number: 314-367-5820
Copy
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