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1891700217
ANGELA LEE TABAKA
SAINT LOUIS, MO
NPI
1891700217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: MO 153779)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Ms. ANGELA LEE TABAKA ANP
3015 N BALLAS RD ST LOUIS
SAINT LOUIS, MO 63131-2329
Phone number: 314-996-5223
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Mailing Address
Ms. ANGELA LEE TABAKA ANP
3015 N BALLAS RD ST LOUIS
SAINT LOUIS, MO 63131-2329
Phone number: 314-996-5223
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