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Individual

ANGELA RUSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EMT, SOCIOLOGIST

Contact information

Practice address
3556 SHENANDOAH AVE APT 302, SAINT LOUIS, MO 63104-1774
(314) 203-0974
(314) 626-4655
Mailing address
3556 SHENANDOAH AVE APT 302, SAINT LOUIS, MO 63104-1774
(314) 203-0974
(314) 626-4655

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B66554
MO

Other

Enumeration date
04/30/2021
Last updated
04/30/2021
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