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1992167522
LANYN CLARK
SAINT LOUIS, MO
NPI
1992167522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MO 2015014622)
Enumeration Date
2016-03-23
Last Update Date
2016-03-23
Business Address
-- LANYN CLARK
40 LADUE TER
SAINT LOUIS, MO 63124-2048
Phone number: 314-954-9958
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Mailing Address
-- LANYN CLARK
40 LADUE TER
SAINT LOUIS, MO 63124-2048
Phone number: 314-954-9958
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