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1366292468
PRENTISS BRYANT
SAINT LOUIS, MO
NPI
1366292468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MO LC014475474)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
PRENTISS BRYANT
11553 CARAWAY CT
SAINT LOUIS, MO 63138-2405
Phone number: 314-575-3275
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Mailing Address
PRENTISS BRYANT
11553 CARAWAY CT
SAINT LOUIS, MO 63138-2405
Phone number: 314-575-3275
Copy
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