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1376009456
JENNA S DEKEN
FARMINGTON, MO
NPI
1376009456
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Former Name
JENNA S BOYD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MO 2016044692)
Enumeration Date
2019-02-14
Last Update Date
2024-11-20
Business Address
JENNA S DEKEN FNP
1106 HAZEL LN
FARMINGTON, MO 63640-1999
Phone number: 573-756-6751
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Mailing Address
JENNA S DEKEN FNP
PO BOX 957683
SAINT LOUIS, MO 63195-1921
Phone number: 573-756-6751
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