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1376091256
LACRISHA WATSON
SAINT LOUIS, MO
NPI
1376091256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
(Licence: MO 371586570)
Enumeration Date
2016-09-20
Last Update Date
2016-09-20
Business Address
-- LACRISHA WATSON
2665 GRAVOIS AVE
SAINT LOUIS, MO 63118-1543
Phone number: 314-922-6398
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Mailing Address
-- LACRISHA WATSON
3002 S JEFFERSON AVE
SAINT LOUIS, MO 63118-1513
Phone number: 314-991-1495
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