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Individual
PERRY A RATHBUN
Active
Individual
PERRY A RATHBUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
122180
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
871224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
916904261
—
MO
Enumeration date
04/09/2008
Last updated
05/21/2015
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