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1134589526
BROOK GLENN
JOPLIN, MO
NPI
1134589526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2016005304)
Enumeration Date
2016-02-29
Last Update Date
2016-03-15
Business Address
-- BROOK GLENN
1102 W 32ND ST
JOPLIN, MO 64804-3503
Phone number: 417-347-1111
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Mailing Address
-- BROOK GLENN
PO BOX 3810
JOPLIN, MO 64803-3810
Phone number: 417-399-9141
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