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Organization
AXIS REJUVENATION LLC
Active
Organization
AXIS REJUVENATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DRAPER (PARTNER)
(801) 953-5323
Entity
Organization
Contact information
Practice address
100 BOSA DR STE A, SAINT ROBERT, MO 65584-4833
(573) 337-4568
(573) 336-2256
Mailing address
100 BOSA DR STE A, SAINT ROBERT, MO 65584-4833
(801) 953-5323
(801) 336-2256
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/31/2018
Last updated
12/30/2019
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