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1053945105
PREMIER CDS SERVICES
SAINT LOUIS, MO
NPI
1053945105
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Entity Type
Organization
Authorized Contact
DEONDA POKE
Executive Director
314-833-4466
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2020-02-27
Last Update Date
2020-02-27
Business Address
PREMIER CDS SERVICES
4144 LINDELL BLVD STE 218
SAINT LOUIS, MO 63108-2932
Phone number: 314-833-4466
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Mailing Address
PREMIER CDS SERVICES
4144 LINDELL BLVD STE 218
SAINT LOUIS, MO 63108-2932
Phone number: 314-833-4466
Copy
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