JASON DEAN LIGHTLE

SAINT JOSEPH, MO
NPI1588929210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2012018728)
Enumeration Date2012-07-09
Last Update Date2012-10-10
Business Address
-- JASON DEAN LIGHTLE CRNA
5325 FARAON ST
SAINT JOSEPH, MO 64506-3488
Phone number: 816-271-1365
Mailing Address
-- JASON DEAN LIGHTLE CRNA
PO BOX 410245
KANSAS CITY, MO 64141-0245
Phone number: 816-271-1365
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