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Individual

JULIE HENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
BOLIVAR FAMILY CARE CENTER, 1240 NORTH BUTTERFIELD ROAD, BOLIVAR, MO 65613
(417) 326-6021
Mailing address
BOLIVAR FAMILY CARE CENTER, 1240 NORTH BUTTERFIELD ROAD, BOLIVAR, MO 65613

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1679
NE
207Q00000X
Family Medicine Physician
Primary
2022044990
MO

Other

Enumeration date
02/15/2016
Last updated
04/09/2024
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