KIAN POURAK

SAINT LOUIS, MO
NPI1053011676
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO  2024018873)
Enumeration Date2023-03-03
Last Update Date2024-06-14
Business Address
KIAN POURAK
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110-1003
Phone number: 314-362-7388
Mailing Address
KIAN POURAK
4921 PARKVIEW PL # 6G
SAINT LOUIS, MO 63110-1032
Phone number:
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