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1548447113
ILIA ROSA SUMOZA
FENTON, MO
NPI
1548447113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: MO 2011030407)
Enumeration Date
2008-01-25
Last Update Date
2021-12-20
Business Address
ILIA ROSA SUMOZA MD
1011 BOWLES AVE SUITE G 50
FENTON, MO 63026-2395
Phone number: 636-496-4640
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Mailing Address
ILIA ROSA SUMOZA MD
1011 BOWLES AVE SUITE G 50
FENTON, MO 63026-2395
Phone number: 636-496-4640
Copy
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