JERRY CLARKSON

PRATT, KS
NPI1558339010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KS  54408)
Enumeration Date2006-03-10
Last Update Date2011-10-04
Business Address
-- JERRY CLARKSON CRNA
200 COMMODORE ST
PRATT, KS 67124-2903
Phone number: 620-672-7451
Mailing Address
-- JERRY CLARKSON CRNA
PO BOX 1919
WICHITA, KS 67201-1919
Phone number: 316-685-3698
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