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1811972060
JEANETTE RUTH MONTGOMERY
SAINT LOUIS, MO
NPI
1811972060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 20040006-22)
Enumeration Date
2005-12-09
Last Update Date
2007-07-08
Business Address
Mrs. JEANETTE RUTH MONTGOMERY C.N.P.
12647 OLIVE BLVD SUITE 600
SAINT LOUIS, MO 63141-6345
Phone number: 800-325-3982
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Mailing Address
Mrs. JEANETTE RUTH MONTGOMERY C.N.P.
8487 COUNTY ROAD 107
NISSWA, MN 56468
Phone number: 218-568-8485
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