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1700278421
DIANA EISENBATH
O FALLON, MO
NPI
1700278421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: MO 2007003269)
Enumeration Date
2015-03-04
Last Update Date
2015-03-04
Business Address
-- DIANA EISENBATH RNFA
7827 HIGHWAY N SUITE 104
O FALLON, MO 63368-6704
Phone number: 636-734-0386
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Mailing Address
-- DIANA EISENBATH RNFA
7827 HIGHWAY N SUITE 104
O FALLON, MO 63368-6704
Phone number: 636-734-0386
Copy
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