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Individual

TREY GRAVIETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5150
(573) 331-5026
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2015011477
MO

Other

Enumeration date
04/24/2015
Last updated
03/05/2021
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