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1235767872
LANDON HOUSE
SAINT LOUIS, MO
NPI
1235767872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MO 2021006394)
Enumeration Date
2020-03-30
Last Update Date
2021-06-22
Business Address
LANDON HOUSE PA-C
3915 WATSON RD
SAINT LOUIS, MO 63109-1267
Phone number: 314-881-0300
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Mailing Address
LANDON HOUSE PA-C
2 BROADWAY VILLAGE DR APT F
COLUMBIA, MO 65201-8673
Phone number:
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