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1821100553
TERESA MARIE BLASE
SAINT LOUIS, MO
NPI
1821100553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO 103651)
Enumeration Date
2006-08-31
Last Update Date
2015-03-10
Business Address
-- TERESA MARIE BLASE M.D.
615 S NEW BALLAS RD EMERGENCY DEPARTMENT
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6090
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Mailing Address
-- TERESA MARIE BLASE M.D.
314 WOODCLIFFE PLACE DR
CHESTERFIELD, MO 63005-4817
Phone number: 636-532-6546
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