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1245639673
MISSOURI HEALTHCARE LLC
SAINT LOUIS, MO
NPI
1245639673
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Entity Type
Organization
Authorized Contact
RUSLAN NURUSHEV
Owner
314-925-7517
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 105827)
Enumeration Date
2014-08-21
Last Update Date
2014-09-10
Business Address
MISSOURI HEALTHCARE LLC
2901 UNION RD UNIT 205B
SAINT LOUIS, MO 63125-3972
Phone number: 314-925-7517
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Mailing Address
MISSOURI HEALTHCARE LLC
2901 UNION RD UNIT 205B
SAINT LOUIS, MO 63125-3972
Phone number: 314-925-7517
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