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1497934798
IVONNE I MANDELL
SAINT LOUIS, MO
NPI
1497934798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner Neonatal, Critical Care
(Licence: MO 2000165210)
Enumeration Date
2007-11-02
Last Update Date
2020-11-24
Business Address
IVONNE I MANDELL NNP
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-577-5631
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Mailing Address
IVONNE I MANDELL NNP
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-577-5631
Copy
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