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Individual

DR. SARAH ELIZABETH BOLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA, DNAP

Contact information

Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2024012234
MO
367500000X
Certified Registered Nurse Anesthetist
AP129254
TX
367500000X
Certified Registered Nurse Anesthetist
AP60339716
WA

Other

Enumeration date
10/26/2012
Last updated
09/03/2024
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