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Individual

MR. FREDDIE COLLINS SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1604 GRAPE AVE, SAINT LOUIS, MO 63147-1406
(314) 947-0949
Mailing address
1604 GRAPE AVE, SAINT LOUIS, MO 63147-1406
(314) 947-0948

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MO

Other

Enumeration date
05/14/2024
Last updated
05/14/2024
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