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1265407332
DEBORAH IBORG
SAINT LOUIS, MO
NPI
1265407332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO 00047)
Enumeration Date
2006-02-21
Last Update Date
2007-07-08
Business Address
Mrs. DEBORAH IBORG ATC
3400 PERSHALL RD
SAINT LOUIS, MO 63135-1408
Phone number: 314-513-4285
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Mailing Address
Mrs. DEBORAH IBORG ATC
14 CHANDLER CT
SAINT CHARLES, MO 63303-5340
Phone number: 314-513-4285
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