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Individual

MS. JACQUELINE NIEBYLSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6119
(314) 653-5000
Mailing address
3138 LAFAYETTE AVE, SAINT LOUIS, MO 63104-1437
(314) 223-1272

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2009015737
MO

Other

Enumeration date
08/05/2012
Last updated
08/05/2012
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