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Individual

JASON THOMAS VAN BUREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8805 BLUE RIDGE BLVD, KANSAS CITY, MO 64138-4002
(346) 431-3454
Mailing address
8805 BLUE RIDGE BLVD, KANSAS CITY, MO 64138-4002
(346) 431-3454

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2023035485
MO
261QH0700X
Hearing and Speech Clinic/Center
41452
TX

Other

Enumeration date
03/18/2020
Last updated
10/20/2025
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