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Individual

EILEEN ROYAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1890 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3817
(636) 887-2667
Mailing address
604 COURAGEOUS LN, WENTZVILLE, MO 63385-7178

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024038052
MO

Other

Enumeration date
09/30/2024
Last updated
09/30/2024
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