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Individual

MRS. SARAH CATHERINE BOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
525 BRANSON LANDING BLVD, BRANSON, MO 65616-2052
(417) 335-7000
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2829

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
118828
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2018027841
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
910057657
MO
Enumeration date
07/24/2018
Last updated
12/14/2020
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