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1861844003
JEEVAN BHATTA
FORT LEONARD WOOD, MO
NPI
1861844003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-121107)
Enumeration Date
2016-07-12
Last Update Date
2024-08-15
Business Address
DR. JEEVAN BHATTA CRNA
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0417
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Mailing Address
DR. JEEVAN BHATTA CRNA
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0417
Copy
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