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1922233873
CARLA PRINCE BOLIVAR
FARMINGTON, MO
NPI
1922233873
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Other Name
CARLA PRINCE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2009022078)
Enumeration Date
2009-05-21
Last Update Date
2021-03-09
Business Address
CARLA PRINCE BOLIVAR M.D.
515 MAPLE VALLEY DR
FARMINGTON, MO 63640-1919
Phone number: 573-760-7920
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Mailing Address
CARLA PRINCE BOLIVAR M.D.
PO BOX 801143
KANSAS CITY, MO 64180-1143
Phone number: 573-331-3000
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