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1104305275
JASON A MOBURG
KANSAS CITY, MO
NPI
1104305275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2018028914)
Enumeration Date
2018-08-09
Last Update Date
2018-08-14
Business Address
Dr. JASON A MOBURG DNP, FNP- BC, APRN
2401 GILLHAM RD
KANSAS CITY, MO 64108
Phone number: 816-234-3430
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Mailing Address
Dr. JASON A MOBURG DNP, FNP- BC, APRN
2401 GILLHAM RD PROVIDER ENROLLMENT
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200
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