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1477828234
IRENE WAN
SAINT LOUIS, MO
NPI
1477828234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MO 2010030876)
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
-- IRENE WAN RD, LD
1416 N BERRY RD
SAINT LOUIS, MO 63119-1204
Phone number: 314-368-9108
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Mailing Address
-- IRENE WAN RD, LD
1416 N BERRY RD
SAINT LOUIS, MO 63119-1204
Phone number: 314-368-9108
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