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1447960638
GERALDINE PROPHETE
CREVE COEUR, MO
NPI
1447960638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2023008006)
Enumeration Date
2022-11-29
Last Update Date
2024-03-11
Business Address
Ms. GERALDINE PROPHETE PA
11445 OLIVE BLVD
CREVE COEUR, MO 63141-7108
Phone number: 314-428-9543
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Mailing Address
Ms. GERALDINE PROPHETE PA
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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