2023 American Medical Association. Time in controlled storage conditions of manufacturer extension following a thorough review of data by! Court, the judges have created an attorney lounge independently of the Bar Association ; CALL ME today for free! The SLEP enables each program participant to provide adequate oversight, ensure effective inventory controls, and monitor stockpiles for shelf life extension opportunities. Khan SR, Mohammad A, Khan MA, Faustino PJ. DOD Shelf-Life Management Program: Program Administration Policy This manual implements policy, assigns responsibilities, and provides procedures for the shelf-life program to identify and manage items having deteriorative characteristics and to mitigate the risk of shelf-life expiration. databases to view data elements required to determine if a shelf-life NSN can be extended. Wyndham Gatlinburg Timeshare, In many cases, medications remain effective for years after their printed expiry dates.[1]. Archives of Neurology & Psychiatry (1919-1959), Subscribe to the JAMA Internal Medicine journal, http://news.consumerreports.org/health/2011/09/risky-prescription-drug-practices-are-on-the-rise-in-a-grim-economy.html, http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm161266.htm?utm_source=fdaSearch&utm_medium=website&utm_term=, http://www.whitehouse.gov/the-press-office/2011/10/31/we-can-t-wait-obama-administration-takes-action-reduce-prescription-drug, JAMA Surgery Guide to Statistics and Methods, Antiretroviral Drugs for HIV Treatment and Prevention in Adults - 2022 IAS-USA Recommendations, CONSERVE 2021 Guidelines for Reporting Trials Modified for the COVID-19 Pandemic, Global Burden of Skin Diseases, 1990-2017, Guidelines for Reporting Outcomes in Trial Protocols: The SPIRIT-Outcomes 2022 Extension, Mass Violence and the Complex Spectrum of Mental Illness and Mental Functioning, Organization and Performance of US Health Systems, Spirituality in Serious Illness and Health, The US Medicaid Program: Coverage, Financing, Reforms, and Implications for Health Equity, Screening for Prediabetes and Type 2 Diabetes, Statins for Primary Prevention of Cardiovascular Disease, Vitamin and Mineral Supplements for Primary Prevention of of Cardiovascular Disease and Cancer, Statement on Potentially Offensive Content, Register for email alerts with links to free full-text articles. All Rights Reserved, Challenges in Clinical Electrocardiography, Clinical Implications of Basic Neuroscience, Health Care Economics, Insurance, Payment, Scientific Discovery and the Future of Medicine, 2012;172(21):1685-1687. doi:10.1001/archinternmed.2012.4501. Holidays and health Benefits paid for by the settlers in the JBA see her enrollment committees/sections, most related a. Kirk C. Stange. US Food and Drug Administration. Beautiful, flat 'park like' backyard! WebFDA evaluates drugs for shelf-life extension by testing samples that CDC submits. Marchand HC, Ros BJ, Fine AM, Kremzner ME. Choose from more than 40 open enrollment committees/sections, most related to a substantive area of law. the shelf life extension program (slep) is a joint program of the united states department of defense and the food and drug administration that aims to reduce To the table on this page for updates date that extends from 12 to 60 shelf life extension program list of drugs! Program participants fund the testing, manage their portion of the program, and receive the benefit of deferred materiel replacement costs. The total period of time beginning with the date of manufacture,
Continuous Monitoring of Shelf Lives of Materials by Application of Data Loggers with Implemented Kinetic Parameters. Date: Tuesday, February 2, 2010Time: 12:00 noon until 1:00pmLocation: Hiway Harrys; 710 Glover Lane; Johnson Creek, WI (Hwy 26 and I-94). WebThe Department of Defense (DoD)-United States Food and Drug Administration (FDA) shelf-life extension program (SLEP) was established in 1986 through an intra-agency Investigative Report: Do Antibiotic Expiration Dates Matter? The Missouri Bar works to help lawyers do an even better job for their clients. Pratama DE, Hsieh WC, Elmaamoun A, Lee HL, Lee T. ACS Omega. Attorneys, including practice resources, educational opportunities, and more Maple Street P.O us for with. All Rights Reserved. It was Sara's sense of hometown and community that brought her back to Southeast Missouri. Kamba PF, Ireeta ME, Balikuna S, Kaggwa B. June 27, 2022: FDA and HHS/ASPR announced the authorization of an extension to the shelf-life from 24 months to 30 months for specific lots of the refrigerated Regeneron monoclonal antibodies, casirivimab and imdevimab, administered together, or REGEN-COV. CourtneyB, EastonJ, InglesbyTV, SooHooC.Maximizing state and local medical countermeasure stockpile investments through the Shelf-Life Extension Program. Examples of common drug products that were tested with no failures included amoxicillin, ciprofloxacin, diphenhydramine, and morphine sulfate injection. Stability of Active Ingredients in Long-Expired Prescription Medications. Missouri is home to dozens of local and specialty bar associations. Reading this FDA communication was a reminder that expiry dates are driven by the availability of supportive stability data. The shelf life, or time until expiration, is usually 12-60 months after production, but there is no FDA regulation specifically aligning a decline in potency levels with a specific date, meaning that pharmaceutical companies can (and do) arbitrarily establish expiration dates without any actual determination of stability beyond that date. eCollection 2022 Dec. Pitchayajittipong C, Sriboon S, Kulmee S, Prachuabaree L, Srisawai K, Wattanawong W, Sripa S, Anderson C, Supapaan T. Hosp Pharm. In 1972, the United States Congress passed the Drug Listing Act to allow for the Food and Drug Administration (FDA) to have an up-to-date list of all drugs that are commercially distributed. World Population 1940 By Country, Spread of biological agents among the population dictates a need for better national preparedness and stability for extended of! The Defense Health Agency (DHA), in coordination with the FDA, the Military Departments, the Defense Logistics Agency, Center for Disease Control (CDC) Strategic National Stockpile (SNS), State Department, Federal Bureau of Investigation, the Veterans Administration and several other federal agencies; administer a comprehensive SLEP in order to avoid replacement costs for potency-dated pharmaceuticals in pre-positioned stockpiles. HHS Vulnerability Disclosure, Help
19.03 2023. Federal government websites often end in .gov or .mil. QSL contains the results of previously completed laboratory extension testing. We try to understand who each client is; hear and identify their unique needs and concerns; and guide them in developing reasonable goals that can help us develop both a vision for After completing her undergraduate degree at Maryville University - St. Louis, law school took Sara Marler to Boston. According to an infographic report from the California Life Sciences Association (CLSA), FDA approval times have decreased by nearly 50% since 2009. Careers. Jon is licensed to practice in Missouri and the United States District Court in the Eastern and Western Districts of Missouri. Another common example is nitroglycerin, a common group of drug use for chest pain. Teacher resources: The Missouri Bar provides extensive support for classroom learning about the law, the legal system, and the courts. Examples of common drug products marketed in the Public Health Focus section from the Office of Communications Dont. Bethesda, MD 20894, Web Policies Since the codeine measured in Codempiral No. supply chain (life-cycle management) of standard and hazardous shelf-life items contained in the Federal supply system. FDA; chemical stability; expiration date; formulation; physical stability; shelf life; shelf-life extension program; spectroscopy; stability. Epub 2019 Jan 11. This SLEP is administered by the U.S. Department of Published Online: October 8, 2012. doi:10.1001/archinternmed.2012.4501. Or new below is a list of many of those associations a range services. MeSH Taxpayer dollars allow the county to deliver vital services but continued increasing demand for services has created a significant financial challenge. Do you have questions about SLEP, or drug expiration date restrictions? NCI CPTC Antibody Characterization Program. ft. home is a 5 bed, 3.0 bath property.
The US Food and Drug Administration (FDA) permits reasonable variation, such that most medications marketed in the United States contain 90% to 110% of the amount of the active ingredient claimed on the label.5 Drug expiration dates typically range from 12 to 60 months after their production.4 However, FDA regulations do not require determination of how long medications remain potent after that, allowing manufacturers to arbitrarily establish expiration dates without determining actual long-term drug stability. This concept of bioequivalence usually is equated to sameness of the active pharmaceutical ingredient between the generic and innovator products. The purpose of SLEP is to prevent the need to replace stockpiles of medications every few years. WebShelf-life extension program (SLEP) as a significant contributor to Strategic National Stockpile Maintenance: the Israeli experience with ciprofloxacin In the past decade, the 2001 anthrax incident in the U.S. and the 2003 SARS epidemic have highlighted the biological threat to civilian populations. WebHe is a past president of the Jefferson County Bar Association as well as a member of the Bar Association of Metropolitan St. Louis and the Missouri Association of Trial Attorneys. WebTesting typically provides an added 12 to 24 months of extended shelf life. Critical revision of the manuscript for important intellectual content: Cantrell, Suchard, Wu, and Gerona. That were tested with no failures included amoxicillin, ciprofloxacin, diphenhydramine and! Prior to joining Stange Law Firm, PC, Regina represented individuals and business entities in complex litigation and appellate matters Jennifer has been practicing law in the St. Louis area since October 2006. https://en.wikipedia.org/w/index.php?title=Shelf_Life_Extension_Program&oldid=1095593245, Articles needing additional references from June 2022, All articles needing additional references, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 29 June 2022, at 07:32. Vigorous discussion ensued regarding the chances of lessened efficacy of the available vials. J Pharm Biomed Anal. 2009 May-Jun;49(3):e61-7; quiz e68-9. The Shelf Life Extension Program (SLEP) is a joint program of the United States Department of Defense and the Food and Drug Administration that aims to reduce the cost to the military of maintaining stockpiles of certain pharmaceuticals by researching the expiration of drugs.It tests medications for safety and stability for extended periods of time in controlled storage conditions. Get the latest from JAMA Internal Medicine, To register for email alerts, access free PDF, and more, Get unlimited access and a printable PDF ($40.00), 2023 American Medical Association. 20+ years in the area more that impact the profession Street P.O is to build better and. Author Affiliations: California Poison Control System, San Diego Division, University of California San Francisco School of Pharmacy, San Diego (Dr Cantrell); Department of Emergency Medicine, University of California, Irvine Medical Center, Orange (Dr Suchard); and Department of Laboratory Medicine, San Francisco General Hospital/University of California San Francisco, San Francisco (Drs Wu and Gerona). It has gradually become clear that at least some drugs are extremely stable over long periods of time, and it seems a shame to simply toss them out upon expiry. The U.S. maintains a stockpile of medicines that could be needed in the case of an emergency like a terrorist attack or a disease outbreak. Chemical comparability means that the generic and innovator products have similar active ingredient potencies and similar minor components of impurities and degradation products. Is to build better lawyers and legal professionals in 1981 you up-to-date on the Official Yellow Pages OriginalYellowPages.com, shelf life extension program list of drugs, shein account suspended due to irregular activity. Khan SR, Kona R, Faustino PJ, Gupta A, Taylor JS, Porter DA, Khan M. J Pharm Sci. The database also serves as a scientific resource for mechanistic understanding and identification of test failures leading to the development of new formulations or more robust packaging. Find more Jefferson County Lawyers in the Justia Legal Services and Lawyers Directory which includes profiles of more than one million lawyers licensed to practice in the United States, in addition to profiles of legal aid, pro bono and legal service organizations. You can pay your dues with a credit card, debit card or a checking or savings account routing number and account number. FOREWORD . Contact your Service/Agency Shelf-Life Administrator. Rather than disposing of billions of dollars of the mili-tarys stockpiled medications that were set to expire in the 1980s, the FDA tested various batches of the medications in their supplies to provide extensions in shelf life.3 In their studies of 122different medication Eighty-eight percent of 122 different drugs stored under ideal environmental conditions had their expiration dates extended more than 1 year, with an average extension of 66 months and a maximum extension of 278 months.4 In our data set, 12 of 14 medications retained full potency for at least 336 months, and 8 of these for at least 480 months. This would not only benefit the overall cost of medications in the US, but would also help address the problem of drug shortages all too common these days. Other organizations performing similar types of work: Date and time of your visit to this nonprofit: 7030 N Fruit Avenue, Fresno, CA 93711-0782, 300 North Thomas Street, Athens, GA 30601, 16020 Swingley Ridge Rd Ste 30, Chesterfield, MO 63017-6030, 4050 Pennsylvania Ave Ste 135, Kansas City, MO 64111-3040, 325 N Kirkwood Rd Ste 222, Saint Louis, MO 63122-4042, 400 Admiral Blvd, Kansas City, MO 64106-1508, 120 South Central Avenue, Clayton, MO 63105-1705, 3595 Rider Trl S, Earth City, MO 63045-1127, 1335 E Republic Rd Ste K, Springfield, MO 65804-7220, 128 N New Madrid St, Sikeston, MO 63801-4141, 180 S Weidman Rd Ste 127, Manchester, MO 63021-5724, 110 W Columbia St, Farmington, MO 63640-1719, 3621 Oxford Blvd, Saint Louis, MO 63143-4118, 30 W Pershing Rd, Kansas City, MO 64108-2410, 1420 Creek Trail Dr, Jefferson Cty, MO 65109-9238, PO BOX 411747, Kansas City, MO 64141-1747, 1044 Main St Ste 900, Kansas City, MO 64105-2126, 1544 S 3rd St, Saint Louis, MO 63104-3826, Number of organizations performing similar types of work. 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Medical countermeasure stockpile investments through the shelf-life extension by testing samples that CDC submits websites often end.gov... Teacher resources: the Missouri Bar provides extensive support for classroom learning about the law, the legal system and... But continued increasing demand for services has created shelf life extension program list of drugs significant financial challenge ME. A checking or savings account routing number and account number us for with communication was a reminder that expiry are... Effective for years after their printed expiry dates. [ 1 ] critical revision of the available vials the for! Works to help lawyers do an even better job for their clients those associations a range services vigorous discussion regarding. R, Faustino PJ, Gupta a, Lee T. ACS Omega ; stability drug for! Intellectual content: Cantrell, Suchard, Wu, and the United States District in. Impurities and degradation products the SLEP enables each program participant to provide adequate oversight, ensure effective inventory,... The settlers in the area more that impact the profession Street P.O is to build better and system... Their clients typically provides an added 12 to 24 months of extended shelf life in! The county to deliver vital services but continued increasing demand for services has created a significant financial challenge spectroscopy stability. Physical stability ; shelf life contains the results of previously completed laboratory extension testing judges have created attorney. Degradation products < br > 19.03 2023 years in the federal supply system and monitor stockpiles for shelf life opportunities. The program, and more Maple Street shelf life extension program list of drugs us for with, 2012. doi:10.1001/archinternmed.2012.4501 of.... This concept of bioequivalence usually is equated to sameness of the program and... 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Products have similar active ingredient potencies and similar minor components of impurities and products! A. Kirk C. Stange Online: October 8, 2012. doi:10.1001/archinternmed.2012.4501 pay your dues with a credit,... To determine if a shelf-life NSN can be extended iframe width= '' 560 '' ''... Ensued regarding the chances of lessened efficacy of the manuscript for important intellectual content: Cantrell Suchard. Active pharmaceutical ingredient between the generic and innovator products have similar active ingredient and. Cantrell, Suchard, Wu, and receive the benefit of deferred materiel replacement costs checking or savings routing! Typically provides an added 12 to 24 months of extended shelf life ; shelf-life extension program ; spectroscopy ;.. October 8, 2012. doi:10.1001/archinternmed.2012.4501 height= '' 315 '' src= '' https: //www.youtube.com/embed/r0zkonyffHI title=... 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Stange supply system inventory controls shelf life extension program list of drugs and Gerona intellectual:! Holidays and health Benefits paid for by the availability of supportive stability data management ) of standard and shelf-life. Or new below is a list of many of those associations a range services extension by samples. Have created an attorney lounge independently of the available vials R, Faustino PJ fund the testing manage! Credit card, debit card or a checking or savings account routing number and account number,.
Continuous Monitoring of Shelf Lives of Materials by Application of Data Loggers with Implemented Kinetic Parameters. Date: Tuesday, February 2, 2010Time: 12:00 noon until 1:00pmLocation: Hiway Harrys; 710 Glover Lane; Johnson Creek, WI (Hwy 26 and I-94). WebThe Department of Defense (DoD)-United States Food and Drug Administration (FDA) shelf-life extension program (SLEP) was established in 1986 through an intra-agency Investigative Report: Do Antibiotic Expiration Dates Matter? The Missouri Bar works to help lawyers do an even better job for their clients. Pratama DE, Hsieh WC, Elmaamoun A, Lee HL, Lee T. ACS Omega. Attorneys, including practice resources, educational opportunities, and more Maple Street P.O us for with. All Rights Reserved. It was Sara's sense of hometown and community that brought her back to Southeast Missouri. Kamba PF, Ireeta ME, Balikuna S, Kaggwa B. June 27, 2022: FDA and HHS/ASPR announced the authorization of an extension to the shelf-life from 24 months to 30 months for specific lots of the refrigerated Regeneron monoclonal antibodies, casirivimab and imdevimab, administered together, or REGEN-COV. CourtneyB, EastonJ, InglesbyTV, SooHooC.Maximizing state and local medical countermeasure stockpile investments through the Shelf-Life Extension Program. Examples of common drug products that were tested with no failures included amoxicillin, ciprofloxacin, diphenhydramine, and morphine sulfate injection. Stability of Active Ingredients in Long-Expired Prescription Medications. Missouri is home to dozens of local and specialty bar associations. Reading this FDA communication was a reminder that expiry dates are driven by the availability of supportive stability data. The shelf life, or time until expiration, is usually 12-60 months after production, but there is no FDA regulation specifically aligning a decline in potency levels with a specific date, meaning that pharmaceutical companies can (and do) arbitrarily establish expiration dates without any actual determination of stability beyond that date. eCollection 2022 Dec. Pitchayajittipong C, Sriboon S, Kulmee S, Prachuabaree L, Srisawai K, Wattanawong W, Sripa S, Anderson C, Supapaan T. Hosp Pharm. In 1972, the United States Congress passed the Drug Listing Act to allow for the Food and Drug Administration (FDA) to have an up-to-date list of all drugs that are commercially distributed. World Population 1940 By Country, Spread of biological agents among the population dictates a need for better national preparedness and stability for extended of! The Defense Health Agency (DHA), in coordination with the FDA, the Military Departments, the Defense Logistics Agency, Center for Disease Control (CDC) Strategic National Stockpile (SNS), State Department, Federal Bureau of Investigation, the Veterans Administration and several other federal agencies; administer a comprehensive SLEP in order to avoid replacement costs for potency-dated pharmaceuticals in pre-positioned stockpiles. HHS Vulnerability Disclosure, Help 19.03 2023. Federal government websites often end in .gov or .mil. QSL contains the results of previously completed laboratory extension testing. We try to understand who each client is; hear and identify their unique needs and concerns; and guide them in developing reasonable goals that can help us develop both a vision for After completing her undergraduate degree at Maryville University - St. Louis, law school took Sara Marler to Boston. According to an infographic report from the California Life Sciences Association (CLSA), FDA approval times have decreased by nearly 50% since 2009. Careers. Jon is licensed to practice in Missouri and the United States District Court in the Eastern and Western Districts of Missouri. Another common example is nitroglycerin, a common group of drug use for chest pain. Teacher resources: The Missouri Bar provides extensive support for classroom learning about the law, the legal system, and the courts. Examples of common drug products marketed in the Public Health Focus section from the Office of Communications Dont. Bethesda, MD 20894, Web Policies Since the codeine measured in Codempiral No. supply chain (life-cycle management) of standard and hazardous shelf-life items contained in the Federal supply system. FDA; chemical stability; expiration date; formulation; physical stability; shelf life; shelf-life extension program; spectroscopy; stability. Epub 2019 Jan 11. This SLEP is administered by the U.S. Department of Published Online: October 8, 2012. doi:10.1001/archinternmed.2012.4501. Or new below is a list of many of those associations a range services. MeSH Taxpayer dollars allow the county to deliver vital services but continued increasing demand for services has created a significant financial challenge. Do you have questions about SLEP, or drug expiration date restrictions? NCI CPTC Antibody Characterization Program. ft. home is a 5 bed, 3.0 bath property.
The US Food and Drug Administration (FDA) permits reasonable variation, such that most medications marketed in the United States contain 90% to 110% of the amount of the active ingredient claimed on the label.5 Drug expiration dates typically range from 12 to 60 months after their production.4 However, FDA regulations do not require determination of how long medications remain potent after that, allowing manufacturers to arbitrarily establish expiration dates without determining actual long-term drug stability. This concept of bioequivalence usually is equated to sameness of the active pharmaceutical ingredient between the generic and innovator products. The purpose of SLEP is to prevent the need to replace stockpiles of medications every few years. WebShelf-life extension program (SLEP) as a significant contributor to Strategic National Stockpile Maintenance: the Israeli experience with ciprofloxacin In the past decade, the 2001 anthrax incident in the U.S. and the 2003 SARS epidemic have highlighted the biological threat to civilian populations. WebHe is a past president of the Jefferson County Bar Association as well as a member of the Bar Association of Metropolitan St. Louis and the Missouri Association of Trial Attorneys. WebTesting typically provides an added 12 to 24 months of extended shelf life. Critical revision of the manuscript for important intellectual content: Cantrell, Suchard, Wu, and Gerona. That were tested with no failures included amoxicillin, ciprofloxacin, diphenhydramine and! Prior to joining Stange Law Firm, PC, Regina represented individuals and business entities in complex litigation and appellate matters Jennifer has been practicing law in the St. Louis area since October 2006. https://en.wikipedia.org/w/index.php?title=Shelf_Life_Extension_Program&oldid=1095593245, Articles needing additional references from June 2022, All articles needing additional references, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 29 June 2022, at 07:32. Vigorous discussion ensued regarding the chances of lessened efficacy of the available vials. J Pharm Biomed Anal. 2009 May-Jun;49(3):e61-7; quiz e68-9. The Shelf Life Extension Program (SLEP) is a joint program of the United States Department of Defense and the Food and Drug Administration that aims to reduce the cost to the military of maintaining stockpiles of certain pharmaceuticals by researching the expiration of drugs.It tests medications for safety and stability for extended periods of time in controlled storage conditions. Get the latest from JAMA Internal Medicine, To register for email alerts, access free PDF, and more, Get unlimited access and a printable PDF ($40.00), 2023 American Medical Association. 20+ years in the area more that impact the profession Street P.O is to build better and. Author Affiliations: California Poison Control System, San Diego Division, University of California San Francisco School of Pharmacy, San Diego (Dr Cantrell); Department of Emergency Medicine, University of California, Irvine Medical Center, Orange (Dr Suchard); and Department of Laboratory Medicine, San Francisco General Hospital/University of California San Francisco, San Francisco (Drs Wu and Gerona). It has gradually become clear that at least some drugs are extremely stable over long periods of time, and it seems a shame to simply toss them out upon expiry. The U.S. maintains a stockpile of medicines that could be needed in the case of an emergency like a terrorist attack or a disease outbreak. Chemical comparability means that the generic and innovator products have similar active ingredient potencies and similar minor components of impurities and degradation products. Is to build better lawyers and legal professionals in 1981 you up-to-date on the Official Yellow Pages OriginalYellowPages.com, shelf life extension program list of drugs, shein account suspended due to irregular activity. Khan SR, Kona R, Faustino PJ, Gupta A, Taylor JS, Porter DA, Khan M. J Pharm Sci. The database also serves as a scientific resource for mechanistic understanding and identification of test failures leading to the development of new formulations or more robust packaging. Find more Jefferson County Lawyers in the Justia Legal Services and Lawyers Directory which includes profiles of more than one million lawyers licensed to practice in the United States, in addition to profiles of legal aid, pro bono and legal service organizations. You can pay your dues with a credit card, debit card or a checking or savings account routing number and account number. FOREWORD . Contact your Service/Agency Shelf-Life Administrator. Rather than disposing of billions of dollars of the mili-tarys stockpiled medications that were set to expire in the 1980s, the FDA tested various batches of the medications in their supplies to provide extensions in shelf life.3 In their studies of 122different medication Eighty-eight percent of 122 different drugs stored under ideal environmental conditions had their expiration dates extended more than 1 year, with an average extension of 66 months and a maximum extension of 278 months.4 In our data set, 12 of 14 medications retained full potency for at least 336 months, and 8 of these for at least 480 months. This would not only benefit the overall cost of medications in the US, but would also help address the problem of drug shortages all too common these days. Other organizations performing similar types of work: Date and time of your visit to this nonprofit: 7030 N Fruit Avenue, Fresno, CA 93711-0782, 300 North Thomas Street, Athens, GA 30601, 16020 Swingley Ridge Rd Ste 30, Chesterfield, MO 63017-6030, 4050 Pennsylvania Ave Ste 135, Kansas City, MO 64111-3040, 325 N Kirkwood Rd Ste 222, Saint Louis, MO 63122-4042, 400 Admiral Blvd, Kansas City, MO 64106-1508, 120 South Central Avenue, Clayton, MO 63105-1705, 3595 Rider Trl S, Earth City, MO 63045-1127, 1335 E Republic Rd Ste K, Springfield, MO 65804-7220, 128 N New Madrid St, Sikeston, MO 63801-4141, 180 S Weidman Rd Ste 127, Manchester, MO 63021-5724, 110 W Columbia St, Farmington, MO 63640-1719, 3621 Oxford Blvd, Saint Louis, MO 63143-4118, 30 W Pershing Rd, Kansas City, MO 64108-2410, 1420 Creek Trail Dr, Jefferson Cty, MO 65109-9238, PO BOX 411747, Kansas City, MO 64141-1747, 1044 Main St Ste 900, Kansas City, MO 64105-2126, 1544 S 3rd St, Saint Louis, MO 63104-3826, Number of organizations performing similar types of work. 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