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1720265077
JENNY LYNN FURTAK
SAINT LOUIS, MO
NPI
1720265077
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Former Name
JENNY LYNN ETLING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO 2000171394)
Enumeration Date
2008-01-29
Last Update Date
2020-11-13
Business Address
JENNY LYNN FURTAK PNP
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-577-5606
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Mailing Address
JENNY LYNN FURTAK PNP
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-577-5666
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