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Individual

ELIZABETH AL BAYATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1390 US HIGHWAY 61, FESTUS, MO 63028-4137
(636) 933-9300
(636) 933-9114
Mailing address
1390 US HIGHWAY 61, FESTUS, MO 63028-4137
(636) 933-9300
(636) 933-9114

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019032733
MO

Other

Enumeration date
07/20/2019
Last updated
10/05/2020
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