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Individual

MRS. JILL MAUREEN BOLLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
6405 METCALF AVE, STE 220, OVERLAND PARK, KS 66202-3927
(816) 877-0561
(816) 877-0565
Mailing address
6405 METCALF AVE, STE 220, OVERLAND PARK, KS 66202-3927
(816) 877-0561
(816) 877-0565

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2006017384
MO

Other

Enumeration date
07/07/2008
Last updated
07/07/2008
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