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1760943823
TANEDRIA LEWIS
SAINT LOUIS, MO
NPI
1760943823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2019000526)
Enumeration Date
2019-03-29
Last Update Date
2019-03-29
Business Address
TANEDRIA LEWIS
4066 DUNNICA AVE
SAINT LOUIS, MO 63116-3510
Phone number: 636-224-1700
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Mailing Address
TANEDRIA LEWIS
118 N 2ND ST STE 200
SAINT CHARLES, MO 63301-2894
Phone number: 636-224-1210
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