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Individual

MS. DAWN M CALABRESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1601 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3814
(636) 332-8455
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-2786

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2004028829
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900192831
RAILROAD MEDICARE
MO
Enumeration date
05/19/2006
Last updated
10/20/2020
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