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Individual

MS. KAOLA JAPRIA BOVELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
120 S TAN ALY STE 1, FREDERICKSBURG, PA 17026-9349
(717) 865-6644
(717) 865-5666
Mailing address
120 S TAN ALY STE 1, FREDERICKSBURG, PA 17026-9349
(717) 865-6644
(717) 865-5666

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN567859
PA
363LF0000X
Family Nurse Practitioner
Primary
SP022103
PA

Other

Enumeration date
06/05/2020
Last updated
01/28/2022
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