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1902402191
LINCOLN DALE HENRY TERRELL
SAINT LOUIS, MO
NPI
1902402191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
Mr. LINCOLN DALE HENRY TERRELL CNIM
6642 CLAYTON RD # 403
SAINT LOUIS, MO 63117-1602
Phone number: 636-226-4159
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Mailing Address
Mr. LINCOLN DALE HENRY TERRELL CNIM
6642 CLAYTON RD # 403
SAINT LOUIS, MO 63117-1602
Phone number: 636-226-4159
Copy
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