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1417940412
ENRIQUE PASTRANA
FENTON, MO
NPI
1417940412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO R1P02)
Enumeration Date
2005-08-24
Last Update Date
2012-06-08
Business Address
Mr. ENRIQUE PASTRANA M.D.
1011 BOWLES AVE. SUITE 300
FENTON, MO 63026-2387
Phone number: 636-496-5030
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Mailing Address
Mr. ENRIQUE PASTRANA M.D.
1011 BOWLES AVE. SUITE 300
FENTON, MO 63122-2387
Phone number: 636-496-5030
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