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Individual

JAY ADOLPHUS SPANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4233 E ASHLAND AVE, SAINT LOUIS, MO 63115-3304
(314) 917-8491
Mailing address
4233 E ASHLAND AVE, SAINT LOUIS, MO 63115-3304
(314) 917-8491

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
MO

Other

Enumeration date
01/21/2022
Last updated
01/21/2022
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