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1215078928
THERESA M BENASSI-POWLES
EAST SAINT LOUIS, IL
NPI
1215078928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL 209003118)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
Mrs. THERESA M BENASSI-POWLES APN CNP
601 JAMES R THOMPSON BLVD BUILDING D 2015
EAST SAINT LOUIS, IL 62201-1129
Phone number: 618-482-6959
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Mailing Address
Mrs. THERESA M BENASSI-POWLES APN CNP
601 JAMES R THOMPSON BLVD BUILDING D 2015
EAST SAINT LOUIS, IL 62201-1129
Phone number: 618-482-6959
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