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1093155905
SSM DEPAUL HEALTH CENTER
BRIDGETON, MO
NPI
1093155905
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Entity Type
Organization
Authorized Contact
JAY MOORE
Vice President Of Academic Affairs
314-334-6971
Organization Subpart ?
No
Primary Taxonomy
211D00000X Assistant, Podiatric
Enumeration Date
2013-06-25
Last Update Date
2013-06-25
Business Address
SSM DEPAUL HEALTH CENTER
12303 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone number: 314-334-6971
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Mailing Address
SSM DEPAUL HEALTH CENTER
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Phone number:
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