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1437474202
DEBRA LYNNE MOSS
SAINT LOUIS, MO
NPI
1437474202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: MO 113637)
Enumeration Date
2010-04-05
Last Update Date
2010-04-05
Business Address
-- DEBRA LYNNE MOSS MD
12929 BALLANTINE CT
SAINT LOUIS, MO 63146-3701
Phone number: 314-628-9820
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Mailing Address
-- DEBRA LYNNE MOSS MD
12929 BALLANTINE CT
SAINT LOUIS, MO 63146-3701
Phone number: 314-628-9820
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