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1831880558
NICOLLETE GERRI IDOS
SPRINGFIELD, MO
NPI
1831880558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2023013961)
Enumeration Date
2023-05-15
Last Update Date
2023-08-23
Business Address
NICOLLETE GERRI IDOS
3443 S NATIONAL AVE
SPRINGFIELD, MO 65807-7308
Phone number: 417-269-2000
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Mailing Address
NICOLLETE GERRI IDOS
PO BOX 802843
KANSAS CITY, MO 64180-2843
Phone number: 417-730-6430
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