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1578808424
HIAWATHA DAVID MARBAN
SPRINGFIELD, MO
NPI
1578808424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2010007775)
Enumeration Date
2012-12-04
Last Update Date
2012-12-04
Business Address
-- HIAWATHA DAVID MARBAN
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2000
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Mailing Address
-- HIAWATHA DAVID MARBAN
1270 E EDGEWOOD ST
SPRINGFIELD, MO 65804-3615
Phone number: 210-593-0811
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