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1871554865
WAN IN L KOO
O FALLON, MO
NPI
1871554865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2002009359)
Enumeration Date
2006-03-29
Last Update Date
2020-10-23
Business Address
Dr. WAN IN L KOO D.O.
1101 HIGHWAY K
O FALLON, MO 63366-8431
Phone number: 636-379-8138
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Mailing Address
Dr. WAN IN L KOO D.O.
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number:
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