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1093453375
DALLES S MERRIMAN
STE GENEVIEVE, MO
NPI
1093453375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2001028596)
Enumeration Date
2022-05-25
Last Update Date
2022-05-25
Business Address
DALLES S MERRIMAN
1010 STE GENEVIEVE DR
STE GENEVIEVE, MO 63670-1447
Phone number: 573-883-5725
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Mailing Address
DALLES S MERRIMAN
12714 TALL PINE DR
STE GENEVIEVE, MO 63670-8622
Phone number: 573-535-0745
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