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1609874734
ALEXANDER K MAMMEN
SAINT LOUIS, MO
NPI
1609874734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 36849)
Enumeration Date
2005-07-12
Last Update Date
2017-10-16
Business Address
Dr. ALEXANDER K MAMMEN M.D.
4530 LEMAY FERRY RD SUITE M
SAINT LOUIS, MO 63129-1600
Phone number: 314-487-8724
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Mailing Address
Dr. ALEXANDER K MAMMEN M.D.
4530 LEMAY FERRY RD SUITE M
SAINT LOUIS, MO 63129-1600
Phone number: 314-487-8724
Copy
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