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MRS. SHENAY MARVETTA DEWBERRY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1300 HAMPTON AVE, SAINT LOUIS, MO 63139-3163
(314) 434-6060
(314) 434-6066
Mailing address
2820 LIBERTY LANDING CT, FLORISSANT, MO 63033-7617
(314) 630-8062
(314) 434-6066

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2004027845
MO

Other

Enumeration date
05/08/2006
Last updated
07/08/2007
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