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1306197876
TINA WHITE
FLORISSANT, MO
NPI
1306197876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Additional Taxonomies
374U00000X Home Health Aide
(Licence: MO 2000149870)
Enumeration Date
2012-09-25
Last Update Date
2016-11-22
Business Address
-- TINA WHITE
100 WASHINGTON ST
FLORISSANT, MO 63031-5921
Phone number: 314-921-9498
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Mailing Address
-- TINA WHITE
100 WASHINGTON ST.
FLORISSANT, MO 63031-1063
Phone number: 314-921-9498
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