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1710686894
SARA RENEE KOOTMAN
SAINT LOUIS, MO
NPI
1710686894
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Former Name
SARA RENEE BRODSKY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2023005440)
Enumeration Date
2023-02-28
Last Update Date
2023-07-13
Business Address
SARA RENEE KOOTMAN MSN, FNP-C
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141-8270
Phone number: 314-251-8892
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Mailing Address
SARA RENEE KOOTMAN MSN, FNP-C
927 MOREHOUSE LN
UNIVERSITY CITY, MO 63130-2157
Phone number: 314-341-2443
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