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1306384094
ERIC VINEYARD
SAINT LOUIS, MO
NPI
1306384094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2017002831)
Enumeration Date
2017-02-02
Last Update Date
2017-02-02
Business Address
-- ERIC VINEYARD CRNA
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 636-386-3722
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Mailing Address
-- ERIC VINEYARD CRNA
PO BOX 22407
SAINT LOUIS, MO 63126-0407
Phone number: 636-386-7222
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