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1184074270
AUTUMN ROQUE
SAINT LOUIS, MO
NPI
1184074270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO 2016019122)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
-- AUTUMN ROQUE DNP, APRN, PMHNP-BC
4130 LINDELL BLVD
SAINT LOUIS, MO 63108-2914
Phone number: 314-535-5600
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Mailing Address
-- AUTUMN ROQUE DNP, APRN, PMHNP-BC
4130 LINDELL BLVD
SAINT LOUIS, MO 63108-2914
Phone number: 314-535-5600
Copy
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