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Organization
GARDNER IMMUNIZATION CLINIC
Active
Organization
GARDNER IMMUNIZATION CLINIC
Active
Parent organization
BOYAJIAN,INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOYAJIAN,INC
Authorized official
SAM HAROLD BOYAJIAN (OWNER)
(913) 856-8106
Entity
Organization
Contact information
Practice address
131 E MAIN ST, SUITE 101, GARDNER, KS 66030-1309
(913) 856-8106
(913) 856-8802
Mailing address
131 E MAIN ST, SUITE 101, GARDNER, KS 66030-1309
(913) 856-8106
(913) 856-8802
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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