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1134441082
DOUGLAS EDWARD POSS
IMPERIAL, MO
NPI
1134441082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: MO 1111487)
Enumeration Date
2010-02-19
Last Update Date
2010-02-19
Business Address
MR. DOUGLAS EDWARD POSS MA, BS
5208 LAKEWOOD TER 101
IMPERIAL, MO 63052-4046
Phone number: 314-438-5831
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Mailing Address
MR. DOUGLAS EDWARD POSS MA, BS
5208 LAKEWOOD TER 101
IMPERIAL, MO 63052-4046
Phone number: 314-438-5831
Copy