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1710043872
CAROLYN PORTER SMALL
SAINT LOUIS, MO
NPI
1710043872
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Other Name
CAROLYN P. SMALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO R6C58)
Enumeration Date
2006-12-30
Last Update Date
2012-06-12
Business Address
Dr. CAROLYN PORTER SMALL MD
3006 PERSHALL RD
SAINT LOUIS, MO 63136-4443
Phone number: 314-524-2233
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Mailing Address
Dr. CAROLYN PORTER SMALL MD
3006 PERSHALL RD
SAINT LOUIS, MO 63136-4443
Phone number: 314-524-2233
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