Individual
MARY COLLEEN KOEBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9568 PINE SPRAY CT, SAINT LOUIS, MO 63126-2610
(314) 842-4529
Mailing address
9568 PINE SPRAY CT, SAINT LOUIS, MO 63126-2610
(314) 842-4529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
096789
MO
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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