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1902008915
MOLLY S. ROUSE
BRIDGETON, MO
NPI
1902008915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 2007013984)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
-- MOLLY S. ROUSE MD
12303 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone number: 314-344-6000
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Mailing Address
-- MOLLY S. ROUSE MD
1836 LACKLAND HILL PKWY ATTN CREDENTIALING DEPARTMENT
SAINT LOUIS, MO 63146-3572
Phone number: 314-989-0300
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