CHARLES J LASTRAPES

CAPE GIRARDEAU, MO
NPI1760483036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  DO112343)
Enumeration Date2005-08-09
Last Update Date2011-06-10
Business Address
-- CHARLES J LASTRAPES DO
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703-5725
Phone number: 573-332-0808
Mailing Address
-- CHARLES J LASTRAPES DO
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703-5725
Phone number: 573-332-0808
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