Individual
MRS. TRACI R DEBEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
6643 SHEPLEY DR, SAINT LOUIS, MO 63105-2354
(314) 935-6666
Mailing address
6643 SHEPLEY DRIVE, ST LOUIS, MO 63130
(314) 935-6666
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
2007010047
MO
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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