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1588654651
MARCELLUS R LAWRENCE
BRIDGETON, MO
NPI
1588654651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MO MDRJ33)
Enumeration Date
2005-10-28
Last Update Date
2007-07-08
Business Address
Mr. MARCELLUS R LAWRENCE MD
12303 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone number: 314-344-7049
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Mailing Address
Mr. MARCELLUS R LAWRENCE MD
12303 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone number: 314-344-7049
Copy
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