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Individual

MS. LAURIE CAPP

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
1222 SPRUCE ST, RM 2.102A, ISC ST LOUIS (PK), SAINT LOUIS, MO 63103-2818
(314) 539-3900
(314) 539-3904
Mailing address
1222 SPRUCE ST, RM 2.102A, ISC ST LOUIS (PK), SAINT LOUIS, MO 63103-2818
(314) 539-3900
(314) 539-3904

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
01/23/2006
Last updated
07/08/2007
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