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1871830885
MAURO ALCALA PAEZ
O FALLON, MO
NPI
1871830885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: MO 2007000648)
Enumeration Date
2013-01-10
Last Update Date
2013-01-10
Business Address
Dr. MAURO ALCALA PAEZ M.D.
923 MIDPOINT DR
O FALLON, MO 63366-5906
Phone number: 636-875-3157
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Mailing Address
Dr. MAURO ALCALA PAEZ M.D.
923 MIDPOINT DR
O FALLON, MO 63366-5906
Phone number: 636-875-3157
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