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Individual
NANCY KAY GASPAROVIC
Active
Individual
NANCY KAY GASPAROVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
12000295
KS
213E00000X
Podiatrist
Primary
795
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104832872
—
MO
01
—
25093027
BCBS
—
05
—
303806103
—
MO
Enumeration date
08/02/2006
Last updated
11/19/2009
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