PHYLLIS KNICKERBOCKER

JOPLIN, MO
NPI1528035144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  1999137827)
Enumeration Date2006-03-02
Last Update Date2007-07-08
Business Address
-- PHYLLIS KNICKERBOCKER CRNA
2727 MCCLELLAND BLVD
JOPLIN, MO 64804-1626
Phone number: 417-781-2727
Mailing Address
-- PHYLLIS KNICKERBOCKER CRNA
PO BOX 760
JOPLIN, MO 64802-0760
Phone number: 417-624-3040
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