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1699148429
MICHAEL EDWIN FARRELL
O FALLON, MO
NPI
1699148429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2015-11-02
Last Update Date
2023-01-31
Business Address
MICHAEL EDWIN FARRELL CSA
2425 SANSONNET LN
O FALLON, MO 63368-3597
Phone number: 501-658-6186
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Mailing Address
MICHAEL EDWIN FARRELL CSA
2425 SANSONNET LN
O FALLON, MO 63368-3597
Phone number: 501-658-6186
Copy
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