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Individual

AIDA JUNUZOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12266 DEPAUL DR SUITE 100, BRIDGETON, MO 63044
(314) 738-2770
Mailing address
3627 PARK LAWN DR, SAINT LOUIS, MO 63125-2462
(314) 560-1507

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
390200000X
Student in an Organized Health Care Education/Training Program
MO

Other

Enumeration date
01/07/2022
Last updated
04/19/2023
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