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1609618396
JEFFREY BLAKE LANTER
SAINT LOUIS, MO
NPI
1609618396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2024024564)
Enumeration Date
2024-06-12
Last Update Date
2024-07-31
Business Address
Mr. JEFFREY BLAKE LANTER DPT
4240 DUNCAN AVE DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS, MO 63110-1101
Phone number: 314-286-1940
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Mailing Address
Mr. JEFFREY BLAKE LANTER DPT
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-286-1940
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