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Organization

MANAN HEARING LLC

Active
Other names
Manan Hearing Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. L. BAKER SHEPLEY JR. HIS (OWNER/SPECIALIST (HIS))
(314) 757-5619
Entity
Organization

Contact information

Practice address
426 BROOKTREE DR, BALLWIN, MO 63011-2743
(314) 757-5619
Mailing address
426 BROOKTREE DR, BALLWIN, MO 63011-2743
(314) 757-5619

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2006006561
MO

Other

Enumeration date
01/04/2012
Last updated
10/21/2015
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