Individual
MS. CHRISTINE M DEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4921 PARKVIEW PL, STE 8C, SAINT LOUIS, MO 63110-1032
(314) 747-2066
(314) 747-1277
Mailing address
660 S EUCLID AVE, C B 8124, SAINT LOUIS, MO 63110-1010
(314) 747-2066
(314) 747-1277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
076400
MO
Other
Enumeration date
06/11/2006
Last updated
01/17/2014
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