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1225544109
HEATHER CHRISTINE LICATA
SAINT LOUIS, MO
NPI
1225544109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-12-14
Last Update Date
2017-12-14
Business Address
Mrs. HEATHER CHRISTINE LICATA RN
607 S NEW BALLAS RD STE 2500
SAINT LOUIS, MO 63141-8219
Phone number: 314-251-6986
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Mailing Address
Mrs. HEATHER CHRISTINE LICATA RN
607 S NEW BALLAS RD STE 2500
SAINT LOUIS, MO 63141-8219
Phone number: 314-251-6986
Copy
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