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Individual

CRYSTAL LYN ASHBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5514 CORPORATE DR STE 120, SAINT JOSEPH, MO 64507-7754
(816) 271-1221
(816) 279-7794
Mailing address
5514 CORPORATE DR STE 150, SAINT JOSEPH, MO 64507-7763
(816) 271-1221
(816) 279-7749

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018009259
MO

Other

Enumeration date
05/04/2018
Last updated
05/04/2018
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