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1760764138
LIEM NGUYEN NICKELSON
SAINT LOUIS, MO
NPI
1760764138
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Former Name
LIEM NGUYEN FISTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: MO 2011030647)
Enumeration Date
2011-09-12
Last Update Date
2017-02-21
Business Address
-- LIEM NGUYEN NICKELSON A.A.
3635 VISTA AVE
SAINT LOUIS, MO 63110-2539
Phone number: 314-577-8000
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Mailing Address
-- LIEM NGUYEN NICKELSON A.A.
3635 VISTA AVE
SAINT LOUIS, MO 63110-2539
Phone number: 813-493-0402
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