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1225251028
MANUEL I. MARBAN
SAINT LOUIS, MO
NPI
1225251028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: MO 33139)
Enumeration Date
2007-04-10
Last Update Date
2011-10-24
Business Address
Dr. MANUEL I. MARBAN M.D.
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
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Mailing Address
Dr. MANUEL I. MARBAN M.D.
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
Copy
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