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1043512999
ST. LOUIS BREAST CENTER LLC
BALLWIN, MO
NPI
1043512999
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Entity Type
Organization
Authorized Contact
RICHARD MUCKERMAN
President
314-409-2108
Organization Subpart ?
No
Primary Taxonomy
261QR0206X Clinic/Center, Radiology, Mammography
Enumeration Date
2010-11-29
Last Update Date
2010-11-29
Business Address
ST. LOUIS BREAST CENTER LLC
884 WOODS MILL RD SUITE 203
BALLWIN, MO 63011-3657
Phone number: 636-779-8008
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Mailing Address
ST. LOUIS BREAST CENTER LLC
884 WOODS MILL RD SUITE 203
BALLWIN, MO 63011-3657
Phone number: 636-779-8008
Copy
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