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1154059061
IAN RAY PALMEJAR
SAINT LOUIS, MO
NPI
1154059061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO F05220729)
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
IAN RAY PALMEJAR FNP
536 N TAYLOR AVE
SAINT LOUIS, MO 63108-1888
Phone number: 314-449-1143
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Mailing Address
IAN RAY PALMEJAR FNP
9969 TESSON CREEK ESTATES DR
SAINT LOUIS, MO 63123-6298
Phone number: 314-757-2338
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