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CHIQUETTA SHANTE SPINKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2302 LOST HOLLOW CT, FLORISSANT, MO 63031-2744
(314) 489-6450
Mailing address
2302 LOST HOLLOW CT, FLORISSANT, MO 63031-2744

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
2006025000
MO

Other

Enumeration date
03/31/2018
Last updated
03/31/2018
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