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1053962357
PREMIER HEALTHCARE STL LLC
BALLWIN, MO
NPI
1053962357
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Entity Type
Organization
Authorized Contact
MOHAMMAD AMIN ZAMAN
President
636-751-0362
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2019-09-27
Last Update Date
2019-09-27
Business Address
PREMIER HEALTHCARE STL LLC
703 HESEMANN RIDGE CT
BALLWIN, MO 63021-3602
Phone number: 636-751-0362
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Mailing Address
PREMIER HEALTHCARE STL LLC
703 HESEMANN RIDGE CT
WILDWOOD, MO 63021-3602
Phone number: 636-751-0362
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