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1245624675
KATHLEEN CARROLL
SAINT LOUIS, MO
NPI
1245624675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO 2007016329)
Enumeration Date
2015-03-24
Last Update Date
2015-03-24
Business Address
Mrs. KATHLEEN CARROLL COTA/L
11960 WESTLINE INDUSTRIAL DR 201
SAINT LOUIS, MO 63146-3209
Phone number: 314-819-0480
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Mailing Address
Mrs. KATHLEEN CARROLL COTA/L
335 FOREST GROVE CT
SAINT PETERS, MO 63304-6783
Phone number: 636-441-5303
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