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1134149826
SAMANTHA SHEA PETERSEN
KANSAS CITY, MO
NPI
1134149826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- SAMANTHA SHEA PETERSEN
930 CARONDELET DR STE 300
KANSAS CITY, MO 64114-4698
Phone number: 816-941-2700
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Mailing Address
-- SAMANTHA SHEA PETERSEN
15228 S MULLEN ST
OLATHE, KS 66062-3738
Phone number: 913-768-6753
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