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Organization

DIABETES EDUCATION AUGMENTING LIFESTYLES-CENTER AND CLINIC, LLC (DEAL-

Active
Other names
DEAL-C2, DEAL-C2
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SONIA L DEAL RN (CHIEF EXECUTIVE OFFICER)
(314) 346-2084
Entity
Organization

Contact information

Practice address
3104 MAGNOLIA AVE, SAINT LOUIS, MO 63118-1272
(314) 441-6536
Mailing address
3671 LAFAYETTE AVE, SAINT LOUIS, MO 63110-2613
(314) 346-2084

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
261QH0100X
Health Service Clinic/Center

Other

Enumeration date
07/05/2022
Last updated
07/05/2022
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