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Organization
JAVIC AVIATION, LLC
Active
Organization
JAVIC AVIATION, LLC
Active
Other names
Gero Psych Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL JAMES BOEKE MBA (MANAGING MEMBER)
(515) 297-4708
Entity
Organization
Contact information
Practice address
212 LAFAYETTE AVE, STORY CITY, IA 50248-1454
(515) 733-4325
Mailing address
1106 KAMEN DR, WEBSTER CITY, IA 50595-3501
(515) 297-4708
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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