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Individual
MS. REBEKAH B BOGAN
Active
Individual
MS. REBEKAH B BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041407232
IL
163W00000X
Registered Nurse
2009015162
MO
363L00000X
Nurse Practitioner
209010690
IL
363LF0000X
Family Nurse Practitioner
2012033119
MO
363LF0000X
Family Nurse Practitioner
Primary
277001252
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720330608
—
MO
Enumeration date
10/03/2012
Last updated
02/25/2021
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