EDGAR MICERE

FLORISSANT, MO
NPI1124449954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2008034717)
Enumeration Date2013-12-20
Last Update Date2013-12-20
Business Address
-- EDGAR MICERE
1 PAUL PLACE CT
FLORISSANT, MO 63031
Phone number: 314-570-1944
Mailing Address
-- EDGAR MICERE
1 PAUL PLACE CT
FLORISSANT, MO 63031
Phone number: 314-570-1944
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