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1295940906
KELLY A SONNTAG
BRIDGETON, MO
NPI
1295940906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: MO 124457)
Enumeration Date
2007-05-14
Last Update Date
2020-11-16
Business Address
KELLY A SONNTAG NP
12277 DE PAUL DR STE 305
BRIDGETON, MO 63044-2529
Phone number: 314-344-7585
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Mailing Address
KELLY A SONNTAG NP
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number:
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