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1215590930
DEBORAH ATHENA ROSE RENNARD PRILUCK
SAINT LOUIS, MO
NPI
1215590930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2019030134)
Enumeration Date
2019-04-18
Last Update Date
2024-04-25
Business Address
Ms. DEBORAH ATHENA ROSE RENNARD PRILUCK DPT
4240 DUNCAN AVE DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS, MO 63110-1101
Phone number: 314-286-1940
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Mailing Address
Ms. DEBORAH ATHENA ROSE RENNARD PRILUCK DPT
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-286-1940
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