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1801430442
SOPHAI THACH
SAINT LOUIS, MO
NPI
1801430442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO F09190892)
Enumeration Date
2019-11-06
Last Update Date
2019-11-06
Business Address
SOPHAI THACH
9717 LANDMARK PARKWAY DR
SAINT LOUIS, MO 63127-1628
Phone number: 314-722-6555
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Mailing Address
SOPHAI THACH
2090 HACKMANN ESTATES DR
SAINT CHARLES, MO 63303-4471
Phone number: 314-546-3572
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