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1730390337
JIE REN
SAINT LOUIS, MO
NPI
1730390337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2005016642)
Enumeration Date
2007-05-24
Last Update Date
2021-11-29
Business Address
-- JIE REN
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6000
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Mailing Address
-- JIE REN
1251 RICHLAND MEADOWS DR
BALLWIN, MO 63021-4435
Phone number: 636-386-8016
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