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1306521398
GRANT LEE AUSTIN
SAINT LOUIS, MO
NPI
1306521398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 2023020066)
Enumeration Date
2023-06-19
Last Update Date
2023-06-19
Business Address
GRANT LEE AUSTIN MD
1 CHILDRENS PL
SAINT LOUIS, MO 63110-1081
Phone number: 314-454-6006
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Mailing Address
GRANT LEE AUSTIN MD
1 CHILDRENS PL
SAINT LOUIS, MO 63110-1081
Phone number:
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