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1518722982
ANNIE MAE HAYNES
EAST SAINT LOUIS, IL
NPI
1518722982
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Former Name
ANNIE MAE COOPER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: MO 108121)
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
ANNIE MAE HAYNES
2610 SAINT LOUIS AVE
EAST SAINT LOUIS, IL 62205-1540
Phone number: 314-495-1611
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Mailing Address
ANNIE MAE HAYNES
2610 SAINT LOUIS AVE
EAST SAINT LOUIS, IL 62205-1540
Phone number: 314-495-1611
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