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1962232215
STACY DAVIS BAUR
BELLEVILLE, IL
NPI
1962232215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209030350)
Enumeration Date
2024-08-02
Last Update Date
2024-10-09
Business Address
STACY DAVIS BAUR NP
4700 MEMORIAL DR STE 350
BELLEVILLE, IL 62226-5373
Phone number: 618-235-7065
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Mailing Address
STACY DAVIS BAUR NP
PO BOX 959203
SAINT LOUIS, MO 63195-2804
Phone number: 618-235-7065
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