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1891335360
CARSON MIKAELA BORGMEYER
JEFFERSON CITY, MO
NPI
1891335360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO 2019028113)
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
CARSON MIKAELA BORGMEYER CPNP
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-556-7704
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Mailing Address
CARSON MIKAELA BORGMEYER CPNP
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-556-7704
Copy
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