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1497765663
LAURIE L BETTLACH
SAINT LOUIS, MO
NPI
1497765663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2007011167)
Enumeration Date
2006-08-09
Last Update Date
2024-04-25
Business Address
Ms. LAURIE L BETTLACH PA
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
SAINT LOUIS, MO 63110-1016
Phone number: 314-362-7200
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Mailing Address
Ms. LAURIE L BETTLACH PA
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-7200
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