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Individual

ATIYA JUNIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
17065 S. 71 HIGHWAY, BELTON, MO 64012
(816) 348-1200
Mailing address
17065 S. 71 HIGHWAY, BELTON, MO 64012

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2014022824
MO
363LF0000X
Family Nurse Practitioner
Primary
2019005034
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2019005034
MISSOURI LICENSE NUMBER
MO
Enumeration date
02/12/2019
Last updated
06/11/2019
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