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1760004543
CHRISTIAN GAGE ORTIZ
SAINT LOUIS, MO
NPI
1760004543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: MO pending)
Enumeration Date
2020-05-14
Last Update Date
2020-08-19
Business Address
Mr. CHRISTIAN GAGE ORTIZ AA-S
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 636-386-9224
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Mailing Address
Mr. CHRISTIAN GAGE ORTIZ AA-S
339 CONSORT DR
BALLWIN, MO 63011-4439
Phone number: 636-386-9224
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