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Individual

KRYSTAL ROSE PINGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11960 WESTLINE INDUSTRIAL DR STE 201, SAINT LOUIS, MO 63146-3209
(314) 439-1949
Mailing address
1419 ESIC DR APT 3, EDWARDSVILLE, IL 62025-3900

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
MO

Other

Enumeration date
07/28/2017
Last updated
07/28/2017
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