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1295325827
THE DORETHA BUIE CENTER, LLC
BRIDGETON, MO
NPI
1295325827
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Entity Type
Organization
Authorized Contact
STACEY BAKER
Owner/Operator
314-422-3489
Organization Subpart ?
No
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date
2021-01-18
Last Update Date
2021-01-18
Business Address
THE DORETHA BUIE CENTER, LLC
12330 NATURAL BRIDGE RD
BRIDGETON, MO 63044-2019
Phone number: 314-422-3489
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Mailing Address
THE DORETHA BUIE CENTER, LLC
2123 KEEVEN LN
FLORISSANT, MO 63031-6501
Phone number: 314-422-3489
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