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1710121272
JENNY MYOUNG DETERT
SAINT LOUIS, MO
NPI
1710121272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 2019015900)
Enumeration Date
2009-04-28
Last Update Date
2021-09-03
Business Address
JENNY MYOUNG DETERT MD
10777 SUNSET OFFICE DR STE 110
SAINT LOUIS, MO 63127-1019
Phone number: 314-781-7415
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Mailing Address
JENNY MYOUNG DETERT MD
415 PAR LN
KIRKWOOD, MO 63122-2938
Phone number:
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