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1740064591
SOPHIA MARIE ITALIANO
SAINT LOUIS, MO
NPI
1740064591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2023031140)
Enumeration Date
2023-08-22
Last Update Date
2024-04-25
Business Address
Ms. SOPHIA MARIE ITALIANO FNP
4921 PARKVIEW PL DIV SURG UROLOGY, STE 11C
SAINT LOUIS, MO 63110-1032
Phone number: 314-362-8200
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Mailing Address
Ms. SOPHIA MARIE ITALIANO FNP
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-8200
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