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Organization

JOHN DEANGELIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN NICHOLAS DEANGELIS D.C. (CHIROPRACTOR)
(330) 219-6557
Entity
Organization

Contact information

Practice address
1000 LAKE SAINT LOUIS BLVD, SUITE 100, LAKE SAINT LOUIS, MO 63367-1340
(636) 695-4570
(636) 625-4554
Mailing address
1000 LAKE SAINT BLVD, SUITE 100, LAKE SAINT LOUIS, MO 63367-1340
(636) 695-4570
(636) 625-4554

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009002883
MO

Other

Enumeration date
09/22/2009
Last updated
01/12/2010
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