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1104276310
ERIC LEE MARTIN
SAINT CHARLES, MO
NPI
1104276310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2019009304)
Enumeration Date
2016-06-18
Last Update Date
2023-07-05
Business Address
Dr. ERIC LEE MARTIN D.O.
1820 ZUMBEHL RD STE 130A
SAINT CHARLES, MO 63303-2761
Phone number: 636-947-2334
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Mailing Address
Dr. ERIC LEE MARTIN D.O.
PO BOX 776084
CHICAGO, IL 60677-6084
Phone number: 636-947-2334
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