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Individual

MRS. MAUREEN MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7310 SUMMERTIME DR, SAINT LOUIS, MO 63129-5740
(314) 846-8243
Mailing address
7310 SUMMERTIME DR, SAINT LOUIS, MO 63129-5740
(314) 846-8243

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
115699
MO

Other

Enumeration date
11/26/2018
Last updated
11/26/2018
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