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1205339074
PRO PAIN LLC
FENTON, MO
NPI
1205339074
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Entity Type
Organization
Authorized Contact
MICHAEL BOEDEFELD
Owner
636-442-5035
Organization Subpart ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
Enumeration Date
2018-03-17
Last Update Date
2018-12-06
Business Address
PRO PAIN LLC
1055 BOWLES AVE STE 202
FENTON, MO 63026-2308
Phone number: 636-326-7821
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Mailing Address
PRO PAIN LLC
4800 MEXICO RD STE 101
SAINT PETERS, MO 63376-1666
Phone number: 636-442-5035
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