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1659987295
LAKE ST. LOUIS WIGS AND CUTS
WENTZVILLE, MO
NPI
1659987295
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Entity Type
Organization
Authorized Contact
SUSAN HOUSEWRIGHT
President
636-887-2193
Organization Subpart ?
No
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2020-09-18
Last Update Date
2020-09-18
Business Address
LAKE ST. LOUIS WIGS AND CUTS
950 CORPORATE PKWY STE 100
WENTZVILLE, MO 63385-4851
Phone number: 636-887-2193
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Mailing Address
LAKE ST. LOUIS WIGS AND CUTS
950 CORPORATE PKWY STE 100
WENTZVILLE, MO 63385-4851
Phone number: 636-887-2193
Copy