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1477109718
CARL DAVID EASTEP
JOPLIN, MO
NPI
1477109718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2019026919)
Enumeration Date
2019-08-13
Last Update Date
2019-12-12
Business Address
CARL DAVID EASTEP PA-C
1901 E 32ND ST STE 4
JOPLIN, MO 64804-3071
Phone number: 417-781-0250
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Mailing Address
CARL DAVID EASTEP PA-C
1912 E LATANA DR
OZARK, MO 65721-8274
Phone number: 870-577-4991
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