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Individual

JAMAL CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT, CPT,

Contact information

Practice address
12127 BELLEFONTAINE RD, SUITE 16, SAINT LOUIS, MO 63138-1916
(314) 885-9167
Mailing address
12127 BELLEFONTAINE RD, SUITE 16, SAINT LOUIS, MO 63138-1916
(314) 885-9167

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012028425
MO

Other

Enumeration date
01/11/2017
Last updated
01/11/2017
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