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1639930670
BREAUNA LATRICE DENT
EAST SAINT LOUIS, IL
NPI
1639930670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: MO 147827)
Enumeration Date
2024-01-17
Last Update Date
2024-01-17
Business Address
BREAUNA LATRICE DENT CNA
837 N 73RD ST
EAST SAINT LOUIS, IL 62203-1713
Phone number: 618-514-2064
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Mailing Address
BREAUNA LATRICE DENT CNA
837 N 73RD ST
EAST SAINT LOUIS, IL 62203-1713
Phone number: 618-514-2064
Copy
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