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1245514819
WANNA JANWATANAGOOL
BRIDGETON, MO
NPI
1245514819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MO 044975)
Enumeration Date
2011-09-30
Last Update Date
2011-09-30
Business Address
-- WANNA JANWATANAGOOL pharmD
12345 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044-2505
Phone number: 314-770-2479
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Mailing Address
-- WANNA JANWATANAGOOL pharmD
10538 TATE DR
SAINT LOUIS, MO 63136-3342
Phone number: 314-867-6017
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