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1366065211
SONNY THANH PHAN
KANSAS CITY, MO
NPI
1366065211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 127704)
Enumeration Date
2020-05-27
Last Update Date
2020-06-01
Business Address
SONNY THANH PHAN CRNA
4401 WORNALL RD
KANSAS CITY, MO 64111-3220
Phone number: 816-932-2000
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Mailing Address
SONNY THANH PHAN CRNA
901 E 104TH ST
KANSAS CITY, MO 64131-4517
Phone number: 816-932-3679
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