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1144427469
ALFREDO CUSTODIO
SAINT LOUIS, MO
NPI
1144427469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO MDR7797)
Enumeration Date
2007-06-29
Last Update Date
2007-10-26
Business Address
DR. ALFREDO CUSTODIO M.D.
11133 DUNN RD
SAINT LOUIS, MO 63136-6119
Phone number: 314-653-5744
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Mailing Address
DR. ALFREDO CUSTODIO M.D.
11133 DUNN RD
SAINT LOUIS, MO 63136-6119
Phone number: 314-653-5744
Copy
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