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Individual

MAUREEN AWUOR ABONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 653-5643
(146) 535-6483
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2023039046
MO
363LA2200X
Adult Health Nurse Practitioner
2023039046
MO
363LG0600X
Gerontology Nurse Practitioner
2023039046
MO

Other

Enumeration date
10/09/2023
Last updated
09/22/2025
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