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1689817322
MIDWEST DERMAL SPECIALIST
FENTON, MO
NPI
1689817322
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Entity Type
Organization
Authorized Contact
TAMMIE MARIE AUER
Owner
314-954-5568
Organization Subpart ?
No
Primary Taxonomy
251J00000X Nursing Care
(Licence: MO 132832)
Enumeration Date
2009-04-10
Last Update Date
2009-04-10
Business Address
MIDWEST DERMAL SPECIALIST
1423 VILLAS ESTATES DR
FENTON, MO 63026-3284
Phone number: 314-954-5568
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Mailing Address
MIDWEST DERMAL SPECIALIST
1423 VILLAS ESTATES DR
FENTON, MO 63026-3284
Phone number: 314-954-5568
Copy
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