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1063635647
JUSTIN TATE
SAINT LOUIS, MO
NPI
1063635647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2279G1100X Respiratory Therapist, Registered General Care
(Licence: MO 2003017948)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
MR. JUSTIN TATE RRT
11701 BORMAN DR SUITE 280
SAINT LOUIS, MO 63146-4100
Phone number: 314-983-9555
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Mailing Address
MR. JUSTIN TATE RRT
2519 S 9TH ST APT A
SAINT LOUIS, MO 63104-4710
Phone number:
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