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1336454008
LISA DAVIES
SAINT LOUIS, MO
NPI
1336454008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MO 2010024466)
Enumeration Date
2010-08-18
Last Update Date
2016-04-01
Business Address
-- LISA DAVIES NP
9915 KENNERLY RD # J
SAINT LOUIS, MO 63128-2703
Phone number: 314-843-4794
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Mailing Address
-- LISA DAVIES NP
9915 KENNERLY RD # J
SAINT LOUIS, MO 63128-2703
Phone number: 314-843-4794
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