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1336327204
MISSOURI LASER, LLC
SPRINGFIELD, MO
NPI
1336327204
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Entity Type
Organization
Authorized Contact
CHRIS GLEASON
CEO
520-547-4130
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2008-02-04
Last Update Date
2008-06-05
Business Address
MISSOURI LASER, LLC
334 E KEARNEY ST PMB 221
SPRINGFIELD, MO 65803-3018
Phone number: 520-547-4130
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Mailing Address
MISSOURI LASER, LLC
6339 E SPEEDWAY BLVD SUITE 201
TUCSON, AZ 85710-1147
Phone number: 520-547-4130
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