Provider Information for 1871057752
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CHRISTINE SIBILLA PLPC
Sex: Female
NPI: 1871057752
Last Updated: 2019-01-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1871057752 | ||||||||
| Enumeration Date | 2019-01-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4534 GIBSON AVE # A SAINT LOUIS, MO 63110-1520 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 500 MEDICAL DR WENTZVILLE, MO 63385-3421 United States Phone: 314-344-6700 | Fax: | ||||||||
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