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Individual

MS. AFOUSSATOU BOIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
1600 S BRENTWOOD BLVD, DIV NEUROLOGY SLEEP MED, STE 600, SAINT LOUIS, MO 63144-1320
(314) 362-4342
(314) 747-3813
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-4342
(314) 747-3813

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2012042117
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420001954
MO
Enumeration date
12/21/2012
Last updated
04/15/2025
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