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1790954501
JASON A. BOLYARD
KANSAS CITY, MO
NPI
1790954501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2005029853)
Enumeration Date
2008-02-26
Last Update Date
2015-08-31
Business Address
-- JASON A. BOLYARD CRNA
4401 WORNALL RD ANESTHESIA DEPT
KANSAS CITY, MO 64111-3220
Phone number: 816-389-6030
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Mailing Address
-- JASON A. BOLYARD CRNA
PO BOX 504407
SAINT LOUIS, MO 63150-4407
Phone number: 816-502-7000
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