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1215269675
MICHAEL GONZALES
SAINT LOUIS, MO
NPI
1215269675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2005005735)
Enumeration Date
2010-02-09
Last Update Date
2010-02-09
Business Address
-- MICHAEL GONZALES PT
2415 N KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63113-1109
Phone number: 314-361-1300
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Mailing Address
-- MICHAEL GONZALES PT
2415 N KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63113-1109
Phone number: 314-361-1300
Copy
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