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Individual

BETTY ANNE BOGART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19108 OLD BB, HOLT, MO 64048-8751
(816) 447-8599
Mailing address
19108 OLD BB, HOLT, MO 64048-8751
(816) 447-8599

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
04/14/2020
Last updated
04/14/2020
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