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1053382929
FOUR STATES ANESTHESIA SERVICES LLC
JOPLIN, MO
NPI
1053382929
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Entity Type
Organization
Authorized Contact
TERRI SUSANN TRACY
Member
417-206-7900
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2006-01-30
Last Update Date
2011-05-12
Business Address
FOUR STATES ANESTHESIA SERVICES LLC
1905 WEST 32ND STREET SUITE #201
JOPLIN, MO 64804
Phone number: 417-206-7900
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Mailing Address
FOUR STATES ANESTHESIA SERVICES LLC
PO BOX 388
NEWTON, KS 67114-0388
Phone number: 316-281-3700
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