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1780740563
PAUL JEFFREY MACK
SAINT LOUIS, MO
NPI
1780740563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CO 2504)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
PAUL JEFFREY MACK CHTP, ED.D, MS, BA
1015 MCCAUSLAND AVE
SAINT LOUIS, MO 63117-1924
Phone number: 314-781-5050
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Mailing Address
PAUL JEFFREY MACK CHTP, ED.D, MS, BA
2960 MILTON BLVD
SAINT LOUIS, MO 63104-1636
Phone number: 314-497-5247
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