SUSAN ALICE COLBURN

SAINT LOUIS, MO
NPI1356598890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  125713)
Enumeration Date2008-08-27
Last Update Date2008-08-27
Business Address
-- SUSAN ALICE COLBURN ANP-C
5000 MANCHESTER AVE
SAINT LOUIS, MO 63110-2012
Phone number: 314-747-5800
Mailing Address
-- SUSAN ALICE COLBURN ANP-C
16 N BARAT AVE
SAINT LOUIS, MO 63135-2116
Phone number: 314-521-0177
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