NPI Details | |
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NPI | 1194755058 |
Enumeration Date | 07/04/2006 |
Last Updated | 07/08/2007 |
Entity Type | Healthcare Provider |
Active | Over 11 years ago |
Authorized Information | |
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Name | JOHN W JOHN |
Position | PRESIDENT |
Phone | (314) 961-0110 |
Fax | (314) 961-0529 |
Practice Location | |
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2530 S BRENTWOOD BLVD SAINT LOUIS MO, 63144-2309, US |
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Phone | (314) 961-0110 |
Fax | (314) 961-0529 |
Business Location | |
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2530 S BRENTWOOD BLVD SAINT LOUIS MO, 63144-2309, US |
|
Phone | (314) 961-0110 |
Fax | (314) 961-0529 |
Toxanomy | |
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Taxonomy Code | 332B00000X |
License State | |
License Number | |
Remove 1194755058 NPI Number |
According to our database, Seliga Shoe Stores Inc NPI is 1194755058, taxonomy code is 332B00000X Seliga Shoe Stores Inc physically located at 2530 S Brentwood Blvd, Saint Louis MO, 63144-2309. NPI Number 1033115704 has the healthcare provider type.
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1194755058 NPI number is provided on an as is basis without warranty of any kind. 1194755058 is maintained by the National Plan & Provider Enumeration System. The contents of Seliga Shoe Stores Inc are for informational purposes only.
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