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1942220678
THERESA T. RICKELMAN
SAINT LOUIS, MO
NPI
1942220678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MO 2001014679)
Enumeration Date
2006-07-19
Last Update Date
2018-03-13
Business Address
THERESA T. RICKELMAN D.O.
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141-8221
Phone number: 636-386-9224
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Mailing Address
THERESA T. RICKELMAN D.O.
339 CONSORT DR
BALLWIN, MO 63011-4439
Phone number: 636-386-9224
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