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1154559425
TINA LYNN MOONEY
SAINT LOUIS, MO
NPI
1154559425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO F0808214)
Enumeration Date
2009-06-25
Last Update Date
2018-11-20
Business Address
Mrs. TINA LYNN MOONEY fpn,c
10012 KENNERLY RD STE 403
SAINT LOUIS, MO 63128
Phone number: 314-880-6676
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Mailing Address
Mrs. TINA LYNN MOONEY fpn,c
10012 KENNERLY RD STE 403
SAINT LOUIS, MO 63128-2197
Phone number: 314-880-6676
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