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Individual

JANTSEN ALLISON BRISTOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5810 NW BARRY RD STE 100, KANSAS CITY, MO 64154-1400
(816) 584-8100
Mailing address
PO BOX 871353, KANSAS CITY, MO 64187-1353
(816) 584-8100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2017024878
MO

Other

Enumeration date
07/23/2017
Last updated
10/04/2021
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