HENRY CHARLES IDEKER

ST LOUIS, MO
NPI1063973972
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-26
Last Update Date2019-03-26
Business Address
HENRY CHARLES IDEKER
3635 VISTA AVE, 6FDT
ST LOUIS, MO 63110
Phone number: 314-577-8884
Mailing Address
HENRY CHARLES IDEKER
3635 VISTA AVE, 6FDT
ST LOUIS, MO 63110
Phone number: 314-577-8884
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