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1013913094
RAYMOND FADA
SAINT PETERS, MO
NPI
1013913094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO t02848)
Enumeration Date
2005-06-23
Last Update Date
2014-11-18
Business Address
Dr. RAYMOND FADA O.D.
6157 MID RIVERS MALL DR 202
SAINT PETERS, MO 63304-1105
Phone number: 636-926-3647
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Mailing Address
Dr. RAYMOND FADA O.D.
40 E NORTH ST
EUREKA, MO 63025-1205
Phone number: 636-200-4393
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