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1225606403
GARRICK MICHAEL PROCTER
JEFFERSON CITY, MO
NPI
1225606403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2021021979)
Enumeration Date
2021-06-15
Last Update Date
2023-02-15
Business Address
GARRICK MICHAEL PROCTER CRNA
2505 MISSION DR
JEFFERSON CITY, MO 65109-9508
Phone number: 573-636-3483
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Mailing Address
GARRICK MICHAEL PROCTER CRNA
3349 AMERICAN AVE STE C
JEFFERSON CITY, MO 65109-1080
Phone number: 573-636-3483
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