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1780632547
JAN MICOTTO
SAINT LOUIS, MO
NPI
1780632547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 081970)
Enumeration Date
2006-05-04
Last Update Date
2008-02-19
Business Address
-- JAN MICOTTO CRNA
3015 N BALLAS RD
SAINT LOUIS, MO 63131-2329
Phone number: 314-996-5330
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Mailing Address
-- JAN MICOTTO CRNA
3015 N BALLAS RD
SAINT LOUIS, MO 63131-2329
Phone number: 314-996-5330
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