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1164174439
RENEWED HEALTH 180 LP
CREVE COEUR, MO
NPI
1164174439
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Entity Type
Organization
Authorized Contact
CHANDRACHUR BANERJEE
Authorized Official
314-866-9940
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
RENEWED HEALTH 180 LP
456 N NEW BALLAS RD STE 101A
CREVE COEUR, MO 63141-6831
Phone number: 314-866-9940
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Mailing Address
RENEWED HEALTH 180 LP
456 N NEW BALLAS RD STE 101A
CREVE COEUR, MO 63141-6831
Phone number: 314-866-9940
Copy
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