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1295254266
MANDY ELIZABETH BETTENHAUSEN
SAINT LOUIS, MO
NPI
1295254266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MO 2019008105)
Enumeration Date
2017-09-11
Last Update Date
2023-08-23
Business Address
Ms. MANDY ELIZABETH BETTENHAUSEN AGNP
4901 FOREST PARK AVE DIV SURG ACCS, STE 340
SAINT LOUIS, MO 63108-1495
Phone number: 314-362-5298
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Mailing Address
Ms. MANDY ELIZABETH BETTENHAUSEN AGNP
660 S EUCLID AVE MSC 8109-43-1160
SAINT LOUIS, MO 63110-1010
Phone number: 314-362-5298
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