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1235330515
MICHAEL J OMBRELLO
SAINT LOUIS, MO
NPI
1235330515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO 2002011491)
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
-- MICHAEL J OMBRELLO M.D.
3660 VISTA AVE SUITE 203
SAINT LOUIS, MO 63110-2540
Phone number: 314-977-8833
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Mailing Address
-- MICHAEL J OMBRELLO M.D.
1402 S GRAND BLVD DOISY HALL RM 213A
SAINT LOUIS, MO 63104-1004
Phone number: 314-977-8833
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