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1184173924
TINA MICHELLE ROSS
INDEPENDENCE, MO
NPI
1184173924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2016033663)
Enumeration Date
2016-09-21
Last Update Date
2016-09-21
Business Address
-- TINA MICHELLE ROSS FNP-C
1500 W WHITE OAK ST
INDEPENDENCE, MO 64050-2559
Phone number: 816-804-5512
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Mailing Address
-- TINA MICHELLE ROSS FNP-C
113 E JEFFERSON ST
BUCKNER, MO 64016-9714
Phone number: 816-804-5512
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