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1225432784
JOHNNIE DAVIS
SAINT LOUIS, MO
NPI
1225432784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2011021506)
Enumeration Date
2014-10-13
Last Update Date
2014-10-13
Business Address
-- JOHNNIE DAVIS
3201 RUSSELL BLVD
SAINT LOUIS, MO 63104-1649
Phone number: 314-585-9541
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Mailing Address
-- JOHNNIE DAVIS
3201 RUSSELL BLVD
SAINT LOUIS, MO 63104-1649
Phone number:
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