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1881766442
JIMMIE CONSTANTINE FOSTER
FORT LEONARD WOOD, MO
NPI
1881766442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: DC 073861)
Enumeration Date
2006-11-15
Last Update Date
2023-02-14
Business Address
Mr. JIMMIE CONSTANTINE FOSTER CRNA
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0417
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Mailing Address
Mr. JIMMIE CONSTANTINE FOSTER CRNA
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 804-224-7697
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