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1366431488
JOHN SEBASTIAN WONG
FORT LEONARD WOOD, MO
NPI
1366431488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 121875)
Enumeration Date
2005-10-20
Last Update Date
2011-11-07
Business Address
Mr. JOHN SEBASTIAN WONG crna
126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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Mailing Address
Mr. JOHN SEBASTIAN WONG crna
126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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