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1336991884
ASHLY WATTLES
SAINT LOUIS, MO
NPI
1336991884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2024023916)
Enumeration Date
2024-04-05
Last Update Date
2024-06-25
Business Address
ASHLY WATTLES DO
12680 OLIVE BLVD STE 300
SAINT LOUIS, MO 63141-6322
Phone number: 314-251-8888
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Mailing Address
ASHLY WATTLES DO
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number:
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