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1154439701
JONATHAN HALL BOSWELL
SPRINGFIELD, MO
NPI
1154439701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2005002880)
Enumeration Date
2006-08-25
Last Update Date
2011-03-30
Business Address
Mr. JONATHAN HALL BOSWELL PA
440 E TAMPA ST
SPRINGFIELD, MO 65806-1131
Phone number: 417-831-0150
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Mailing Address
Mr. JONATHAN HALL BOSWELL PA
PO BOX 5681
SPRINGFIELD, MO 65801-5681
Phone number: 417-831-0150
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