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Individual

DR. THOMAS WAYNE JASPER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7025 HOWDERSHELL RD, HAZELWOOD, MO 63042-3811
(314) 731-1117
Mailing address
2951 ARLMONT DR, SAINT LOUIS, MO 63121-4618
(314) 385-1142

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02794
MO

Other

Enumeration date
09/14/2005
Last updated
07/08/2007
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