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1194756148
CLAYTON E. THEBEAU
SAINT LOUIS, MO
NPI
1194756148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2006004084)
Enumeration Date
2006-07-06
Last Update Date
2007-07-08
Business Address
CLAYTON E. THEBEAU D.O.
621 S NEW BALLAS RD SUITE 3016-B
SAINT LOUIS, MO 63141-8232
Phone number: 314-251-6339
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Mailing Address
CLAYTON E. THEBEAU D.O.
621 S NEW BALLAS RD SUITE 3016-B
SAINT LOUIS, MO 63141-8232
Phone number: 314-251-6339
Copy
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