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1164189460
MATTISYN PERAK
SAINT LOUIS, MO
NPI
1164189460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 2021024143)
Enumeration Date
2021-11-21
Last Update Date
2021-11-21
Business Address
MATTISYN PERAK
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 773-420-8026
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Mailing Address
MATTISYN PERAK
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number:
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