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1407125560
CHARLES BIRMES
VILLA RIDGE, MO
NPI
1407125560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2010033520)
Enumeration Date
2011-12-19
Last Update Date
2011-12-19
Business Address
-- CHARLES BIRMES
5800 GOLDEN POND
VILLA RIDGE, MO 63089-2156
Phone number: 314-560-3166
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Mailing Address
-- CHARLES BIRMES
5800 GOLDEN POND
VILLA RIDGE, MO 63089-2156
Phone number:
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