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1851731962
JASON D BREWER
SPRINGFIELD, MO
NPI
1851731962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: MO 2013022984)
Enumeration Date
2013-07-03
Last Update Date
2014-01-28
Business Address
JASON D BREWER AA
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2829
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Mailing Address
JASON D BREWER AA
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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