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1245727197
RICHARD LAWRENCE SCOTT
MOUNT VERNON, IL
NPI
1245727197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 119463)
Enumeration Date
2018-04-17
Last Update Date
2021-01-26
Business Address
Mr. RICHARD LAWRENCE SCOTT CRNA
8 DOCTORS PARK RD
MOUNT VERNON, IL 62864-6224
Phone number: 314-722-6713
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Mailing Address
Mr. RICHARD LAWRENCE SCOTT CRNA
2023 VADALABENE DR STE 300
MARYVILLE, IL 62062-5846
Phone number: 314-722-6713
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