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1912473497
SUSAN STARK
SAINT LOUIS, MO
NPI
1912473497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 005375)
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
SUSAN STARK
5201 PATTISON AVE
SAINT LOUIS, MO 63110-2041
Phone number: 314-495-8237
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Mailing Address
SUSAN STARK
5201 PATTISON AVE
SAINT LOUIS, MO 63110-2041
Phone number: 314-495-8237
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