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1316099955
SUSAN L GOEN
SAINT LOUIS, MO
NPI
1316099955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MO 2004023155)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
Ms. SUSAN L GOEN LMT
11705 GRAVOIS RD
SAINT LOUIS, MO 63127-1803
Phone number: 314-842-9777
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Mailing Address
Ms. SUSAN L GOEN LMT
9860 BAYWOOD TER
SAINT LOUIS, MO 63126-3452
Phone number: 314-849-9796
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