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1760219182
JACOB GERARD BAVA
SAINT LOUIS, MO
NPI
1760219182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2022049314)
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
Mr. JACOB GERARD BAVA BA, MEd
13303 TESSON FERRY RD STE 50
SAINT LOUIS, MO 63128-4062
Phone number: 636-379-1779
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Mailing Address
Mr. JACOB GERARD BAVA BA, MEd
13303 TESSON FERRY RD STE 50
SAINT LOUIS, MO 63128-4062
Phone number: 636-379-1779
Copy
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