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Individual

MISS SARAH AMANDA MAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
11960 WESTLINE INDUSTRIAL DR, #201, SAINT LOUIS, MO 63146-3209
(314) 819-0480
Mailing address
11960 WESTLINE INDUSTRIAL DR, #201, SAINT LOUIS, MO 63146-3209
(314) 819-0480

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2008005372
MO

Other

Enumeration date
10/15/2014
Last updated
10/15/2014
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