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1932896586
MIA DAVETA
SAINT PETERS, MO
NPI
1932896586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO 2023004707)
Enumeration Date
2023-04-21
Last Update Date
2023-04-21
Business Address
MIA DAVETA aprn
4905 MEXICO RD. STE 400
SAINT PETERS, MO 63376
Phone number: 314-590-3721
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Mailing Address
MIA DAVETA aprn
4905 MEXICO RD. STE 400
SAINT PETERS, MO 63376
Phone number: 314-590-3721
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