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1760878839
LAURA LY ALLEN
FENTON, MO
NPI
1760878839
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Former Name
LAURA LY MCMICHAEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MO 2015009121)
Enumeration Date
2015-04-15
Last Update Date
2020-10-29
Business Address
LAURA LY ALLEN N.P.
1011 BOWLES AVE STE 300
FENTON, MO 63026
Phone number: 636-496-5030
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Mailing Address
LAURA LY ALLEN N.P.
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number:
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