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1487725966
EMMETT M BENTLEY
SAINT LOUIS, MO
NPI
1487725966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MO DOR9613)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- EMMETT M BENTLEY D.O.
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122-3313
Phone number: 314-966-9590
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Mailing Address
-- EMMETT M BENTLEY D.O.
800 SAINT PAUL RD
WILDWOOD, MO 63021-6011
Phone number:
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