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1669772828
VALERIE T TACA MD LLC
CREVE COEUR, MO
NPI
1669772828
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Entity Type
Organization
Authorized Contact
VALERIE T TACA
Owner
314-222-3737
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2010035683)
Enumeration Date
2010-10-21
Last Update Date
2010-10-21
Business Address
VALERIE T TACA MD LLC
228 CARLYLE LAKE DR
CREVE COEUR, MO 63141-7544
Phone number: 314-222-3737
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Mailing Address
VALERIE T TACA MD LLC
228 CARLYLE LAKE DR
CREVE COEUR, MO 63141-7544
Phone number: 314-222-3737
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