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1194751545
JOHN LEO AGERS
DESOTO, MO
NPI
1194751545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MO 12475)
Enumeration Date
2006-06-25
Last Update Date
2007-07-08
Business Address
Dr. JOHN LEO AGERS DDS
120 BOYD ST
DESOTO, MO 63020-1711
Phone number: 636-586-3440
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Mailing Address
Dr. JOHN LEO AGERS DDS
120 BOYD ST PO BOX 572
DESOTO, MO 63020-1711
Phone number: 636-586-3440
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