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1972706158
HARRY JEROME FONDREN
SAINT LOUIS, MO
NPI
1972706158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 12216)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
Dr. HARRY JEROME FONDREN D.D.S.
7645 DELMAR BLVD
SAINT LOUIS, MO 63130-3910
Phone number: 314-727-6323
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Mailing Address
Dr. HARRY JEROME FONDREN D.D.S.
7645 DELMAR BLVD.
SAINT LOUIS, MO 63130
Phone number: 314-727-6323
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