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Individual

JAMIE L HANAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(217) 827-2967
Mailing address
1929 RUSTIC OAK RD, CHESTERFIELD, MO 63017-5015
(217) 827-2967

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2015001459
MO

Other

Enumeration date
01/22/2015
Last updated
02/06/2016
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