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1487066510
SHANNON BERGFELD
SAINT LOUIS, MO
NPI
1487066510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2008020774)
Enumeration Date
2014-05-23
Last Update Date
2014-05-23
Business Address
-- SHANNON BERGFELD
13230 MANCHESTER RD
SAINT LOUIS, MO 63131-1706
Phone number: 314-821-2886
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Mailing Address
-- SHANNON BERGFELD
13230 MANCHESTER RD
SAINT LOUIS, MO 63131-1706
Phone number: 314-821-2886
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