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1518453208
OMOLOLU KAFISANWO
COLUMBIA, MO
NPI
1518453208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2015008932)
Enumeration Date
2018-07-05
Last Update Date
2018-07-05
Business Address
OMOLOLU KAFISANWO CRNA
1600 E BROADWAY
COLUMBIA, MO 65201-5844
Phone number: 573-815-8000
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Mailing Address
OMOLOLU KAFISANWO CRNA
1316 OLD HIGHWAY 63 S STE 102
COLUMBIA, MO 65201-6092
Phone number: 573-875-8838
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