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1982223780
JENNA DEGENNARO BOB
KANSAS CITY, MO
NPI
1982223780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: KS 53-78894-092)
Enumeration Date
2020-04-11
Last Update Date
2020-04-13
Business Address
JENNA DEGENNARO BOB APRN
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3000
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Mailing Address
JENNA DEGENNARO BOB APRN
2401 GILLHAM RD PROVIDER ENROLLMENT DEPT
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200
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