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Individual

SONIA LOUISE DEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 898-4287
(314) 814-8776
Mailing address
2524 HADLEY ST, SAINT LOUIS, MO 63106-4019
(314) 898-4287
(314) 814-8776

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
2000152660
MO
163WG0000X
General Practice Registered Nurse
Primary
2000152660
MO

Other

Enumeration date
03/07/2018
Last updated
03/07/2018
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