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1184821654
KASONDRA BADGER
LEBANON, MO
NPI
1184821654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2006006060)
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
KASONDRA BADGER LPN
874 S JEFFERSON
LEBANON, MO 65536
Phone number: 417-532-3495
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Mailing Address
KASONDRA BADGER LPN
PO BOX 396
RICHLAND, MO 65556-0396
Phone number: 417-532-3495
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