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1144577305
BLUE BAYOU SERVICE INC
SAINT LOUIS, MO
NPI
1144577305
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Entity Type
Organization
Authorized Contact
WILLIAM BRONSON
CEO
314-502-1300
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: MO 12345)
Enumeration Date
2012-08-07
Last Update Date
2012-09-18
Business Address
BLUE BAYOU SERVICE INC
1310 PAPIN ST
SAINT LOUIS, MO 63103-3132
Phone number: 314-502-1300
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Mailing Address
BLUE BAYOU SERVICE INC
1310 PAPIN ST
SAINT LOUIS, MO 63103-3132
Phone number: 314-502-1300
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