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1063545788
ALFRED BLAKEMORE
SAINT LOUIS, MO
NPI
1063545788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2007-03-13
Last Update Date
2007-07-09
Business Address
Mr. ALFRED BLAKEMORE
3642 BOTANICAL AVE
SAINT LOUIS, MO 63110-4002
Phone number: 341-664-8616
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Mailing Address
Mr. ALFRED BLAKEMORE
3642 BOTANICAL AVE
SAINT LOUIS, MO 63110-4002
Phone number: 341-664-8616
Copy
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