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1720333941
STEPHANIE BINGHAM
SAINT LOUIS, MO
NPI
1720333941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2012022374)
Enumeration Date
2012-07-14
Last Update Date
2018-12-14
Business Address
STEPHANIE BINGHAM
7419 WATSON RD
SAINT LOUIS, MO 63119-4415
Phone number: 314-400-3360
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Mailing Address
STEPHANIE BINGHAM
PO BOX 23340
SAINT LOUIS, MO 63156-3340
Phone number: 314-851-1000
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