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Individual

ASHLEY N MCCOOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1404 TRIAD CENTER DR, SAINT PETERS, MO 63376-7351
(636) 352-0380
(636) 352-2343
Mailing address
9 GARDEN IMAGES CT, O FALLON, MO 63368-6895
(636) 352-0380
(636) 352-2343

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2021042983
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2021042983
LICENSE
MO
Enumeration date
01/10/2022
Last updated
01/10/2022
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