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1104114073
JASON LEE RICKS
JOPLIN, MO
NPI
1104114073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2011020379)
Enumeration Date
2011-07-13
Last Update Date
2012-02-17
Business Address
-- JASON LEE RICKS CRNA
2817 SAINT JOHNS BLVD ANESTHESIA DEPT
JOPLIN, MO 64804-1563
Phone number: 417-781-2727
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Mailing Address
-- JASON LEE RICKS CRNA
2817 SAINT JOHNS BLVD ANESTHESIA DEPT
JOPLIN, MO 64804-1563
Phone number: 417-781-2727
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