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1417946856
NICHOLAS J. PETELIN
KANSAS CITY, MO
NPI
1417946856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 155240)
Enumeration Date
2005-10-18
Last Update Date
2020-12-01
Business Address
NICHOLAS J. PETELIN CRNA
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-1127
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Mailing Address
NICHOLAS J. PETELIN CRNA
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-1127
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