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1437667920
ST. LOUIS DERMATOLOGY CENTER LLC
SAINT LOUIS, MO
NPI
1437667920
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Entity Type
Organization
Authorized Contact
OSAMUEDE OSEMWOTA
Owner
314-474-0114
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: MO 2017039492)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
ST. LOUIS DERMATOLOGY CENTER LLC
8888 LADUE RD STE 210
SAINT LOUIS, MO 63124-2056
Phone number: 314-474-0114
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Mailing Address
ST. LOUIS DERMATOLOGY CENTER LLC
536 ROSEDALE AVE APT 201
SAINT LOUIS, MO 63112-1427
Phone number: 334-221-2357
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