LISA ANN CLANCY

SAINT LOUIS, MO
NPI1881893865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171W00000X Contractor
Enumeration Date2007-07-11
Last Update Date2007-07-11
Business Address
-- LISA ANN CLANCY PT
2954 FLAMELIGHT CT
SAINT LOUIS, MO 63129-2413
Phone number: 314-845-6719
Mailing Address
-- LISA ANN CLANCY PT
2954 FLAMELIGHT CT
SAINT LOUIS, MO 63129-2413
Phone number: 314-845-6719
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