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Organization

SEW ST. LOUIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENDRA COSEY (OWNER/CERTIFIEDHAIR LOSS SPECIALIST)
(314) 942-9000
Entity
Organization

Contact information

Practice address
2172 N WATERFORD DR, FLORISSANT, MO 63033
(314) 942-9000
Mailing address
2172 N WATERFORD DR, FLORISSANT, MO 63033-2301
(314) 942-9000

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
08/07/2018
Last updated
08/08/2018
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