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1669478558
FREDERICK DURLIN BAUSCHARD
SAINT LOUIS, MO
NPI
1669478558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: MO R4202)
Enumeration Date
2005-06-24
Last Update Date
2007-07-08
Business Address
Dr. FREDERICK DURLIN BAUSCHARD M.D.
6451 CHIPPEWA ST STE 2
SAINT LOUIS, MO 63109-2104
Phone number: 314-832-6803
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Mailing Address
Dr. FREDERICK DURLIN BAUSCHARD M.D.
6451 CHIPPEWA ST STE 2
SAINT LOUIS, MO 63109-2104
Phone number: 314-832-6803
Copy
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