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1780168005
PREMIER SURGICAL ASSISTING, LLC
WENTZVILLE, MO
NPI
1780168005
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Entity Type
Organization
Authorized Contact
DEREK LAMBERT
Owner
636-288-5225
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date
2018-09-21
Last Update Date
2018-09-21
Business Address
PREMIER SURGICAL ASSISTING, LLC
1334 HERITAGE PKWY
WENTZVILLE, MO 63385-3570
Phone number: 636-288-5225
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Mailing Address
PREMIER SURGICAL ASSISTING, LLC
1334 HERITAGE PKWY
WENTZVILLE, MO 63385-3570
Phone number: 636-288-5225
Copy
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