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1497948087
GRACE A MONTENEGRO
SAINT LOUIS, MO
NPI
1497948087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: MO 2013017017)
Enumeration Date
2007-08-27
Last Update Date
2021-02-17
Business Address
Dr. GRACE A MONTENEGRO M.D.
1008 S SPRING AVE
SAINT LOUIS, MO 63110-2520
Phone number: 314-977-3530
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Mailing Address
Dr. GRACE A MONTENEGRO M.D.
1008 S SPRING AVE
SAINT LOUIS, MO 63110-2520
Phone number: 314-977-3530
Copy
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