Individual
DEBORAH MATLOF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6336
Mailing address
16227 FOREST MEADOWS DR, CHESTERFIELD, MO 63005-4763
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029410
MO
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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