Individual
CAROL G. DUANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3691 RUTGER ST, SUITE 100, SAINT LOUIS, MO 63110-2515
(314) 977-6333
(314) 977-6340
Mailing address
3691 RUTGER ST, PROVIDER ENROLLMENT, SAINT LOUIS, MO 63110-2515
(314) 977-6828
(314) 977-6777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
078930
MO
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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