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1922191584
THEODORE G. SAMPLE
ST. LOUIS, MO
NPI
1922191584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 112824)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
-- THEODORE G. SAMPLE M.D.
621 S. NEW BALLAS ROAD SUITE 6009-B
ST. LOUIS, MO 63141
Phone number: 314-251-6598
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Mailing Address
-- THEODORE G. SAMPLE M.D.
621 S. NEW BALLAS ROAD SUITE 6009-B
ST. LOUIS, MO 63141
Phone number: 314-251-6598
Copy
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