Individual
JAMES JACOB BRESSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
261 BURR OAK RD, FOLEY, MO 63347-2423
(636) 669-2646
Mailing address
261 BURR OAK RD, FOLEY, MO 63347-2423
(636) 669-2646
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T054341001
MO
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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