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1750760799
SOPHIA CUSTER
SAINT LOUIS, MO
NPI
1750760799
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Former Name
SOPHIA MCGUIRK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2015007863)
Enumeration Date
2015-05-22
Last Update Date
2021-10-26
Business Address
SOPHIA CUSTER P.A.
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6486
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Mailing Address
SOPHIA CUSTER P.A.
625 S NEW BALLAS RD STE 7020
SAINT LOUIS, MO 63141-8218
Phone number: 314-251-6486
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