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1205255247
PASSPORT HEALTH
SAINT LOUIS, MO
NPI
1205255247
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Entity Type
Organization
Authorized Contact
LTANYA GARRISON
President
314-997-8100
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2014-04-07
Last Update Date
2014-10-02
Business Address
PASSPORT HEALTH
2025 S BRENTWOOD BLVD SUITE 101
SAINT LOUIS, MO 63144-1833
Phone number: 314-997-8100
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Mailing Address
PASSPORT HEALTH
2025 S BRENTWOOD BLVD SUITE 101
SAINT LOUIS, MO 63144-1833
Phone number: 314-997-8100
Copy
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