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Ebony Bow
NPI 1700648672 · on the registry since 2024
Practice
- Address
- 5414 Vera Ave
Saint Louis, MO 63115 - Phone
- (314) 255-8445
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri