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1194455204
LARISA V KOVALEVA
SAINT LOUIS, MO
NPI
1194455204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MO 2021016885)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
LARISA V KOVALEVA NP
1201 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-257-8222
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Mailing Address
LARISA V KOVALEVA NP
13601 RIVERWAY DR APT B
CHESTERFIELD, MO 63017-2678
Phone number: 314-238-6730
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