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1700861846
CHARLES LEE NIMMO
OSAGE BEACH, MO
NPI
1700861846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 041989)
Enumeration Date
2005-12-13
Last Update Date
2024-12-29
Business Address
-- CHARLES LEE NIMMO CRNA
54 HOSPITAL DR
OSAGE BEACH, MO 65065-3050
Phone number: 573-302-1661
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Mailing Address
-- CHARLES LEE NIMMO CRNA
PO BOX 840
OSAGE BEACH, MO 65065-0840
Phone number: 573-302-1661
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