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1215122304
MARY MELITA CRUM
FLORISSANT, MO
NPI
1215122304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: MO B0057567A)
Enumeration Date
2007-09-11
Last Update Date
2008-05-23
Business Address
Mrs. MARY MELITA CRUM optician
11266 W FLORISSANT AVE
FLORISSANT, MO 63033-6741
Phone number: 314-838-3539
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Mailing Address
Mrs. MARY MELITA CRUM optician
11266 W FLORISSANT AVE
FLORISSANT, MO 63033-6741
Phone number: 314-838-3539
Copy
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