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1679115109
TYLER I EDGERTON
SAINT LOUIS, MO
NPI
1679115109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2017036514)
Enumeration Date
2019-10-16
Last Update Date
2019-10-16
Business Address
TYLER I EDGERTON
2836 WATSON RD
SAINT LOUIS, MO 63139-2621
Phone number: 314-368-4408
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Mailing Address
TYLER I EDGERTON
2836 WATSON RD
SAINT LOUIS, MO 63139-2621
Phone number:
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