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1285772491
MARK S. MIKESCH
SPRINGFIELD, MO
NPI
1285772491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 100654)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
-- MARK S. MIKESCH CRNA
1000 E PRIMROSE ST STE 520
SPRINGFIELD, MO 65807-5180
Phone number: 417-269-4550
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Mailing Address
-- MARK S. MIKESCH CRNA
1000 E PRIMROSE ST STE 520
SPRINGFIELD, MO 65807-5180
Phone number: 417-269-4550
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