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1063454452
JACQUELYN E BOAN
KANSAS CITY, MO
NPI
1063454452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MO 086946)
Enumeration Date
2006-06-12
Last Update Date
2012-12-08
Business Address
Mrs. JACQUELYN E BOAN FNP
11201 COLORADO AVE
KANSAS CITY, MO 64137-2502
Phone number: 816-765-0232
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Mailing Address
Mrs. JACQUELYN E BOAN FNP
11201 COLORADO AVE
KANSAS CITY, MO 64137-2502
Phone number: 816-765-0232
Copy
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