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1396189171
JAMES WASSEL TARASUIK
SAINT LOUIS, MO
NPI
1396189171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209010372)
Enumeration Date
2013-04-23
Last Update Date
2024-05-20
Business Address
Mr. JAMES WASSEL TARASUIK FNP-BC
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 618-669-2657
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Mailing Address
Mr. JAMES WASSEL TARASUIK FNP-BC
379 HUG CEMETERY RD
POCAHONTAS, IL 62275-3532
Phone number: 618-651-0353
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