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Individual

DAVID STAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1715 DEER TRACKS TRL, SUITE 260, SAINT LOUIS, MO 63131-1839
(636) 541-0676
Mailing address
5 HILLCREST BLVD, BALLWIN, MO 63021-5255

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2011010750
MO

Other

Enumeration date
06/16/2011
Last updated
05/01/2013
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