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Individual

SARAH NELLE LANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4066 DUNNICA AVE, SAINT LOUIS, MO 63116-3510
(636) 224-1700
(314) 535-5917
Mailing address
118 N 2ND ST STE 200, SAINT CHARLES, MO 63301-2894
(636) 224-1210
(636) 946-0991

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2009003887
MO

Other

Enumeration date
07/11/2019
Last updated
07/11/2019
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