PAUL LOOSEMORE

SAINT LOUIS, MO
NPI1093264640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: MO  2015030525)
Enumeration Date2016-09-23
Last Update Date2016-09-23
Business Address
-- PAUL LOOSEMORE
4059 CASTLEMAN AVE
SAINT LOUIS, MO 63110-3617
Phone number: 314-484-6568
Mailing Address
-- PAUL LOOSEMORE
4059 CASTLEMAN AVE
ST LOUIS, MO 63110
Phone number: 314-484-6568
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