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1912027533
GLENN BOGUS
SAINT LOUIS, MO
NPI
1912027533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 2001006321)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- GLENN BOGUS NP
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110-1003
Phone number: 314-454-8134
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Mailing Address
-- GLENN BOGUS NP
47 PORTLAND DR
FRONTENAC, MO 63131-3300
Phone number: 314-997-6173
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