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1679529655
ELIZABETH KOOB CLYNE
SAINT LOUIS, MO
NPI
1679529655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2002001428)
Enumeration Date
2006-05-25
Last Update Date
2012-11-08
Business Address
Ms. ELIZABETH KOOB CLYNE CRNA
12634 OLIVE BLVD
SAINT LOUIS, MO 63141-6337
Phone number: 314-996-8378
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Mailing Address
Ms. ELIZABETH KOOB CLYNE CRNA
660 S EUCLID AVE C B 8054
SAINT LOUIS, MO 63110-1010
Phone number: 314-996-8378
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