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1518527860
ADAM PAUL WIRA
SAINT LOUIS, MO
NPI
1518527860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2019021345)
Enumeration Date
2019-06-18
Last Update Date
2019-08-05
Business Address
Dr. ADAM PAUL WIRA OD
122 S COUNTY CENTER WAY
SAINT LOUIS, MO 63129-1089
Phone number: 314-416-7588
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Mailing Address
Dr. ADAM PAUL WIRA OD
122 S COUNTY CENTER WAY STE A
SAINT LOUIS, MO 63129-1092
Phone number: 847-666-7650
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