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1588929210
JASON DEAN LIGHTLE
SAINT JOSEPH, MO
NPI
1588929210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2012018728)
Enumeration Date
2012-07-09
Last Update Date
2024-10-09
Business Address
JASON DEAN LIGHTLE CRNA
5325 FARAON ST
SAINT JOSEPH, MO 64506-3488
Phone number: 816-271-6350
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Mailing Address
JASON DEAN LIGHTLE CRNA
PO BOX 410245
KANSAS CITY, MO 64141-0245
Phone number: 816-271-1365
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