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1154680288
CARLISS RENE GARRETT
SAINT LOUIS, MO
NPI
1154680288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MO 2016015403)
Enumeration Date
2012-05-09
Last Update Date
2024-04-25
Business Address
Ms. CARLISS RENE GARRETT ANP
4488 FOREST PARK AVE DIV NEUROLOGY ADULT, STE 160
SAINT LOUIS, MO 63108-2283
Phone number: 314-362-1408
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Mailing Address
Ms. CARLISS RENE GARRETT ANP
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-1408
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