Individual
MS. DEBORAH N MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 2007B, SAINT LOUIS, MO 63141-8232
(314) 991-5000
(314) 991-5035
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
074673
MO
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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