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Individual

PATSY SYBLE JEFFERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1757 IMPERIAL BLVD., LAKE CHARLES, LA 70605-5362
(337) 310-2832
(850) 474-8083
Mailing address
13523 BARRET PARKWAY DRIVE, SUITE 104, BALLWIN, MO 63021-3802
(636) 938-6868
(636) 938-1486

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
ARNP1369052
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN124206-APO5665
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303804100
FL
Enumeration date
02/21/2006
Last updated
03/08/2011
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