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1407136625
LEON CLUCK
SAINT LOUIS, MO
NPI
1407136625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 2011014224)
Enumeration Date
2011-08-19
Last Update Date
2011-08-19
Business Address
-- LEON CLUCK
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8150
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Mailing Address
-- LEON CLUCK
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8150
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