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1659580157
ONE SOURCE HEALTH CARE
SAINT LOUIS, MO
NPI
1659580157
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Entity Type
Organization
Authorized Contact
MAURICE AYIDIYA
Owner
314-304-3591
Organization Subpart ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: MO 1)
Enumeration Date
2007-05-21
Last Update Date
2020-08-22
Business Address
ONE SOURCE HEALTH CARE
3430 EVERGREEN LN APT E
SAINT LOUIS, MO 63125-4804
Phone number: 314-304-3591
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Mailing Address
ONE SOURCE HEALTH CARE
3430 EVERGREEN LN APT E
SAINT LOUIS, MO 63125-4804
Phone number:
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