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1578705703
STAN D AVERY
LEES SUMMIT, MO
NPI
1578705703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 102966)
Enumeration Date
2009-04-02
Last Update Date
2009-04-02
Business Address
-- STAN D AVERY CRNA
100 NE SAINT LUKES BLVD
LEES SUMMIT, MO 64086-6000
Phone number: 816-347-5000
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Mailing Address
-- STAN D AVERY CRNA
10310 STATE LINE RD SUITE A
LEAWOOD, KS 66206-2658
Phone number: 913-647-4100
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