Individual
MR. JEFFREY JOHN VASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN-BSN
Contact information
Practice address
126 MISSOURI AVE, BOX 1267, FORT LEONARD WOOD, MO 65473-8952
(573) 596-5334
Mailing address
17450 LORI, SAINT ROBERT, MO 65584-9452
(314) 956-5030
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
117191
IA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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