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1942772934
JASSMA DAVIS
FLORISSANT, MO
NPI
1942772934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2016025326)
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
JASSMA DAVIS
660 JAMAICA PL
FLORISSANT, MO 63033-3552
Phone number: 314-643-3413
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Mailing Address
JASSMA DAVIS
660 JAMAICA PL
FLORISSANT, MO 63033-3552
Phone number: 314-643-3413
Copy
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