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1164868105
CARISSA G MORTON
SAINT PETERS, MO
NPI
1164868105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MO 2013003434)
Enumeration Date
2013-05-16
Last Update Date
2013-05-16
Business Address
MRS. CARISSA G MORTON FNP
114 PIPER HILL DR SUITE NUMBER 103
SAINT PETERS, MO 63376-1661
Phone number: 636-442-5035
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Mailing Address
MRS. CARISSA G MORTON FNP
16774 BENTON TAYLOR DR
CHESTERFIELD, MO 63005-4873
Phone number: 678-230-3594
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