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1750703187
GILBERT O WASONGA
SAINT LOUIS, MO
NPI
1750703187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: MO 2014001131)
Enumeration Date
2014-01-21
Last Update Date
2014-01-21
Business Address
Mr. GILBERT O WASONGA A.A.
615 S NEW BALLAS RD DEPT. OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-4687
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Mailing Address
Mr. GILBERT O WASONGA A.A.
339 CONSORT DR
BALLWIN, MO 63011-4439
Phone number: 636-386-9224
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