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1851910277
RAVEN CLAY
SAINT LOUIS, MO
NPI
1851910277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: MO 113537A)
Enumeration Date
2020-04-15
Last Update Date
2020-04-15
Business Address
RAVEN CLAY
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-633-6363
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Mailing Address
RAVEN CLAY
11 JOYCE ELLEN LN
FERGUSON, MO 63135-2140
Phone number: 614-423-5243
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