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Individual

MRS. LOREN SUZANNE VANDERGRIFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
2325 DOUGHERTY FERRY RD, SUITE 100, SAINT LOUIS, MO 63122-3356
(314) 909-1359
(314) 909-1370
Mailing address
2325 DOUGHERTY FERRY RD, SUITE 100, SAINT LOUIS, MO 63122-3356
(314) 909-1359
(314) 909-1370

Taxonomy

Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
2014003266
MO

Other

Enumeration date
02/05/2014
Last updated
02/05/2014
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