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1205073616
SAMUEL L JEFFERS
SAINT JOSEPH, MO
NPI
1205073616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2004021234)
Enumeration Date
2009-01-08
Last Update Date
2020-10-29
Business Address
SAMUEL L JEFFERS CRNA
5325 FARAON ST
SAINT JOSEPH, MO 64506-3488
Phone number: 816-271-1365
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Mailing Address
SAMUEL L JEFFERS CRNA
5325 FARAON ST
SAINT JOSEPH, MO 64506-3488
Phone number: 816-271-1365
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