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1912922014
MATTHEW CASEY
BALLWIN, MO
NPI
1912922014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 036-115992)
Enumeration Date
2006-07-12
Last Update Date
2011-03-09
Business Address
MATTHEW CASEY
339 CONSORT DR
BALLWIN, MO 63011-4439
Phone number: 636-386-9224
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Mailing Address
MATTHEW CASEY
339 CONSORT DR
BALLWIN, MO 63011-4439
Phone number: 636-386-9224
Copy
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