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1366073629
LARA BUCK ANTOLIK
SAINT LOUIS, MO
NPI
1366073629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MO 2015033921)
Enumeration Date
2020-01-27
Last Update Date
2021-11-15
Business Address
MS. LARA BUCK ANTOLIK SLP
4455 DUNCAN AVE DEPT PHYSICAL THERAPY
SAINT LOUIS, MO 63110-1111
Phone number: 314-286-1940
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Mailing Address
MS. LARA BUCK ANTOLIK SLP
4444 FOREST PARK AVE CB 8502
SAINT LOUIS, MO 63108-2212
Phone number: 314-286-1940
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