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Modupe Adedamola Aderibigbe, D.P.M. Valid NPI

Individual provider · Podiatrist · Saint Louis, MO

NPI
1407092927
Type
Individual (Type 1)
Primary specialty
Podiatrist
Specialty group
Podiatric Medicine & Surgery Service Providers
Taxonomy code
213E00000X
License number
016005470 (IL)
Sex
Female
Sole proprietor
No
Enumerated
2009-01-06
Last updated
2014-04-01
Practice location
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
(314) 367-5820

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