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Individual

MS. TIMIRA NACOLE MINOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4480 CLAYTON AVE, SAINT LOUIS, MO 63110-1624
(314) 273-5710
Mailing address
1913 EAGLE DR, SAINT LOUIS, MO 63133-1211
(314) 585-2040

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171W00000X
Contractor

Other

Enumeration date
12/15/2023
Last updated
12/15/2023
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