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1821141037
CHARLES MANNIS
SAINT LOUIS, MO
NPI
1821141037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: MO 32416)
Enumeration Date
2007-01-19
Last Update Date
2007-11-09
Business Address
-- CHARLES MANNIS M.D.
3009 N BALLAS RD SUITE 105B
SAINT LOUIS, MO 63131-2322
Phone number: 314-432-2323
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Mailing Address
-- CHARLES MANNIS M.D.
3009 N BALLAS RD SUITE 105B
SAINT LOUIS, MO 63131-2322
Phone number: 314-432-2323
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