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1760912893
KAITLYN TAYLOR KRISTINA GOTTHARDT
BRIDGETON, MO
NPI
1760912893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-06-12
Last Update Date
2017-06-12
Business Address
KAITLYN TAYLOR KRISTINA GOTTHARDT
3165 MCKELVEY RD
BRIDGETON, MO 63044-2550
Phone number: 314-206-3900
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Mailing Address
KAITLYN TAYLOR KRISTINA GOTTHARDT
604 SAINT ANTHONY DR
GODFREY, IL 62035-2111
Phone number: 636-373-4977
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