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1710902176
VICKIE JOANN CARLL
SAINT LOUIS, MO
NPI
1710902176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MO 109547)
Enumeration Date
2006-07-13
Last Update Date
2013-08-15
Business Address
-- VICKIE JOANN CARLL ANP
6420 CLAYTON RD
SAINT LOUIS, MO 63117-1811
Phone number: 314-317-0600
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Mailing Address
-- VICKIE JOANN CARLL ANP
12125 WOODCREST EXECUTIVE DR SUITE 220
SAINT LOUIS, MO 63141-5001
Phone number: 314-317-0600
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