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Individual
VINCENT SOLLECITO III
Active
Individual
VINCENT SOLLECITO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00449
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141657070
TAX ID
MO
05
—
302805007
—
MO
Enumeration date
04/21/2006
Last updated
07/07/2008
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