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1912905134
MARCO A CASTANEDA
BRIDGETON, MO
NPI
1912905134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO R4A34)
Enumeration Date
2005-07-12
Last Update Date
2007-07-08
Business Address
-- MARCO A CASTANEDA MD
12255 DEPAUL DRIVE #675N
BRIDGETON, MO 63044
Phone number: 314-576-7213
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Mailing Address
-- MARCO A CASTANEDA MD
12255 DEPAUL DRIVE #675N
BRIDGETON, MO 63044
Phone number: 314-729-4271
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