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1144860875
INTEGRATED CARE PROFESSIONALS OF MISSOURI, LLC
SAINT LOUIS, MO
NPI
1144860875
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Entity Type
Organization
Authorized Contact
RODNEY THOMASON
Authorized Official
501-406-6180
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2020-01-10
Last Update Date
2020-01-10
Business Address
INTEGRATED CARE PROFESSIONALS OF MISSOURI, LLC
4625 LINDELL BLVD STE 214
SAINT LOUIS, MO 63108-3725
Phone number: 601-258-7154
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Mailing Address
INTEGRATED CARE PROFESSIONALS OF MISSOURI, LLC
PO BOX 3457
LITTLE ROCK, AR 72203-3457
Phone number:
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