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1457125643
CLAYTON R VOGT
BRIDGETON, MO
NPI
1457125643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2023049525)
Enumeration Date
2023-11-08
Last Update Date
2023-12-26
Business Address
CLAYTON R VOGT
12266 DE PAUL DR STE 305
BRIDGETON, MO 63044-2514
Phone number: 314-770-0991
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Mailing Address
CLAYTON R VOGT
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number:
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