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Individual

SHAWNDRA LATOYA BROWN-FOOTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1111 W PEARCE BLVD, WENTZVILLE, MO 63385-1020
(636) 856-5362
Mailing address
1111 W PEARCE BLVD, WENTZVILLE, MO 63385-1020
(636) 856-5362

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007018705
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2007018705
LICENSE
MO
Enumeration date
09/02/2006
Last updated
08/08/2022
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