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1346985751
MICHAEL JOSEPH
SAINT LOUIS, MO
NPI
1346985751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-29
Last Update Date
2022-04-29
Business Address
MICHAEL JOSEPH D.O
1201 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-977-1914
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Mailing Address
MICHAEL JOSEPH D.O
3691 RUTGER ST
SAINT LOUIS, MO 63110-2515
Phone number: 314-977-1914
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