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Organization

60 MSGS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA ARMOUR CRNA (NURSE ANESTHETIST)
(707) 423-3589
Entity
Organization

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3589
(707) 423-5365
Mailing address
101 CLARK CT, TRAVIS AFB, CA 94535-1256
(707) 437-8362

Taxonomy

Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
151472
MO

Other

Enumeration date
01/19/2006
Last updated
06/13/2008
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