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1649888694
FOLASHADE JOHN
SAINT LOUIS, MO
NPI
1649888694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2019030019)
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
FOLASHADE JOHN DPT
11160 VILLAGE NORTH DR
SAINT LOUIS, MO 63136-6159
Phone number: 314-355-8010
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Mailing Address
FOLASHADE JOHN DPT
165 FOREST PKWY APT H
VALLEY PARK, MO 63088-1050
Phone number: 314-651-6156
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