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1396796041
PAUL J DIESFELD
BRIDGETON, MO
NPI
1396796041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 119779)
Enumeration Date
2006-05-15
Last Update Date
2020-10-21
Business Address
PAUL J DIESFELD PA-C
12349 DE PAUL DR STE 100
BRIDGETON, MO 63044-2512
Phone number: 314-291-3399
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Mailing Address
PAUL J DIESFELD PA-C
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number:
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