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1407390685
SHANNON BOERSIG
SAINT LOUIS, MO
NPI
1407390685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 045709)
Enumeration Date
2016-12-07
Last Update Date
2016-12-07
Business Address
-- SHANNON BOERSIG
4066 DUNNICA AVE
SAINT LOUIS, MO 63116-3510
Phone number: 636-224-1230
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Mailing Address
-- SHANNON BOERSIG
4066 DUNNICA AVE
SAINT LOUIS, MO 63116-3510
Phone number:
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