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1154775898
LESA BROCK
LEES SUMMIT, MO
NPI
1154775898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: MO 091729)
Enumeration Date
2016-04-19
Last Update Date
2016-04-19
Business Address
-- LESA BROCK
927 NE COLUMBUS ST
LEES SUMMIT, MO 64086-2977
Phone number: 816-347-3270
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Mailing Address
-- LESA BROCK
927 NE COLUMBUS ST
LEES SUMMIT, MO 64086-2977
Phone number: 816-347-3270
Copy
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