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Individual

NICO LINSTEADT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRT, AE-C

Contact information

Practice address
29 NW 1ST LN, LAMAR, MO 64759
(417) 681-5197
Mailing address
29 NW 1ST LN, LAMAR, MO 64759
(417) 681-5197

Taxonomy

Speciality
Code
Description
License number
State
2278E1000X
Educational Certified Respiratory Therapist
Primary
2000168915
MO
2278G1100X
General Care Certified Respiratory Therapist
2000168915
MO

Other

Enumeration date
04/03/2017
Last updated
04/03/2017
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