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1750478491
KATRINA R WADE
SAINT LOUIS, MO
NPI
1750478491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO 114707)
Enumeration Date
2006-10-06
Last Update Date
2009-01-22
Business Address
-- KATRINA R WADE M.D.
3635 VISTA AVE WEST PAVILION, ROOM 315
SAINT LOUIS, MO 63110-2539
Phone number: 314-577-8776
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Mailing Address
-- KATRINA R WADE M.D.
3691 RUTGER ST PROVIDER ENROLLMENT
SAINT LOUIS, MO 63110-2515
Phone number: 314-977-6828
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