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1740575232
BRENT E SHIELDS
SAINT PETERS, MO
NPI
1740575232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2011011838)
Enumeration Date
2011-06-13
Last Update Date
2011-06-13
Business Address
-- BRENT E SHIELDS CRNA
10 HOSPITAL DR
SAINT PETERS, MO 63376-1659
Phone number: 636-916-9180
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Mailing Address
-- BRENT E SHIELDS CRNA
PO BOX 5
HAZELWOOD, MO 63042-0005
Phone number: 314-895-3828
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