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1699786988
MARY L. HAGERTY
SAINT LOUIS, MO
NPI
1699786988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MO 2001000717)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
Ms. MARY L. HAGERTY R.D.
915 N GRAND BLVD VA MEDICAL CENTER
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
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Mailing Address
Ms. MARY L. HAGERTY R.D.
9139 PAUL REVERE DR APT C
SAINT LOUIS, MO 63123-4240
Phone number: 314-638-3165
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