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1811721319
SOFIYA ALEXIS PRUSS
CREVE COEUR, MO
NPI
1811721319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
SOFIYA ALEXIS PRUSS PA-C
10923 OLIVE BLVD
CREVE COEUR, MO 63141-7740
Phone number: 314-764-2953
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Mailing Address
SOFIYA ALEXIS PRUSS PA-C
11708 RUSSET MEADOW DR
SAINT LOUIS, MO 63146-4231
Phone number: 314-440-8251
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