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1760552665
SHANNON KRISTINE BOLES
SAINT LOUIS, MO
NPI
1760552665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MO 2000165054)
Enumeration Date
2006-11-08
Last Update Date
2024-04-25
Business Address
Mrs. SHANNON KRISTINE BOLES ACNP
4901 FOREST PARK AVE DIV SURG ACCS, STE 340
SAINT LOUIS, MO 63108-1495
Phone number: 314-362-5298
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Mailing Address
Mrs. SHANNON KRISTINE BOLES ACNP
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-5298
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