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1528418399
MONTRELL THORNTON
SAINT LOUIS, MO
NPI
1528418399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: MO 160510132512859)
Enumeration Date
2016-06-13
Last Update Date
2016-11-11
Business Address
-- MONTRELL THORNTON
111 W PORT PLZ FL 6
SAINT LOUIS, MO 63146-3011
Phone number: 314-322-4656
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Mailing Address
-- MONTRELL THORNTON
14812 STRATFORD CT
BRIDGETON, MO 63044-1962
Phone number: 314-322-4656
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