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1972787398
VIJAYALAKSHMI DIVAKARAN
SAINT LOUIS, MO
NPI
1972787398
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Former Name
VIJAYALAKSHMI VELLAICHAMY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 2002031628)
Enumeration Date
2007-12-20
Last Update Date
2012-06-26
Business Address
-- VIJAYALAKSHMI DIVAKARAN ARNP, BC
10012 KENNERLY RD SUITE 300
SAINT LOUIS, MO 63128-2197
Phone number: 314-842-0602
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Mailing Address
-- VIJAYALAKSHMI DIVAKARAN ARNP, BC
12855 N 40 DR SUITE 300
SAINT LOUIS, MO 63141-8666
Phone number: 314-880-6100
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