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1932195443
SANDRA L TATE
ST LOUIS, MO
NPI
1932195443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MO MDR2328)
Enumeration Date
2005-09-21
Last Update Date
2011-10-21
Business Address
-- SANDRA L TATE MD
12855 NORTH FORTY DRIVE SUITE 125
ST LOUIS, MO 63141
Phone number: 314-966-0111
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Mailing Address
-- SANDRA L TATE MD
12813 FLUSHING MEADOWS DRIVE SUITE 210
ST. LOUIS, MO 63131
Phone number: 314-966-0111
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