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1134718893
TISA SUZANNE AYERS
SAINT LOUIS, MO
NPI
1134718893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MO 2021001577)
Enumeration Date
2021-01-15
Last Update Date
2022-09-12
Business Address
TISA SUZANNE AYERS
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6339
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Mailing Address
TISA SUZANNE AYERS
230 NORMANDIE DR
BONNE TERRE, MO 63628-9215
Phone number: 573-701-8408
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