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1134755911
COREY ALLEN BLASSIE
SAINT PETERS, MO
NPI
1134755911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MO 2019046619)
Enumeration Date
2020-03-12
Last Update Date
2023-11-17
Business Address
COREY ALLEN BLASSIE NP
122 HERON CT
SAINT PETERS, MO 63376-5038
Phone number: 636-542-2552
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Mailing Address
COREY ALLEN BLASSIE NP
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 314-575-1374
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