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1730111337
SAMUEL JOSEPH
SAINT LOUIS, MO
NPI
1730111337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 1999134859)
Enumeration Date
2006-07-06
Last Update Date
2011-03-09
Business Address
-- SAMUEL JOSEPH PA-C
5701 DELMAR BLVD
SAINT LOUIS, MO 63112-2617
Phone number: 314-367-7848
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Mailing Address
-- SAMUEL JOSEPH PA-C
5701 DELMAR BLVD
SAINT LOUIS, MO 63112-2617
Phone number: 314-367-7848
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