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1396083002
MARSHA FAYE LUSTER-SMITH
SAINT LOUIS, MO
NPI
1396083002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2012036462)
Enumeration Date
2013-01-30
Last Update Date
2013-01-30
Business Address
Mrs. MARSHA FAYE LUSTER-SMITH FNP
939 GAY AVE
SAINT LOUIS, MO 63130-2737
Phone number: 314-721-3746
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Mailing Address
Mrs. MARSHA FAYE LUSTER-SMITH FNP
939 GAY AVE
SAINT LOUIS, MO 63130-2737
Phone number: 314-721-3746
Copy
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