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1790916864
DIANE ROTH
SAINT LOUIS, MO
NPI
1790916864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: MO 066206)
Enumeration Date
2009-08-06
Last Update Date
2009-08-06
Business Address
-- DIANE ROTH RN
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-268-2700
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Mailing Address
-- DIANE ROTH RN
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-268-2700
Copy
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