MARCIA DIANE BORN

SAINT LOUIS, MO
NPI1295962488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: MO  0059344)
Enumeration Date2009-06-16
Last Update Date2009-06-16
Business Address
-- MARCIA DIANE BORN WHNP-BC
621 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8232
Phone number: 314-251-7447
Mailing Address
-- MARCIA DIANE BORN WHNP-BC
1029 LARK AVE
KIRKWOOD, MO 63122-3717
Phone number: 314-910-1025
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