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Individual

YVONNE MARIE MILLERTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2017 OTTKAMP DR, SAINT LOUIS, MO 63136-4440
(314) 393-8311
Mailing address
2017 OTTKAMP DR, SAINT LOUIS, MO 63136-4440
(314) 393-8311

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2003025154
MO
163W00000X
Registered Nurse
302094
OH
163W00000X
Registered Nurse
673569
CA

Other

Enumeration date
07/12/2009
Last updated
07/12/2009
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