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Individual

ANDREA BOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1463 HWY 61, SUITE B, FESTUS, MO 63028
(636) 933-7600
Mailing address
1463 HWY 61, SUITE B, FESTUS, MO 63028

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015034752
MO

Other

Enumeration date
10/23/2015
Last updated
10/23/2015
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