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1194959510
JACKIE D KUMM
HARRISONVILLE, MO
NPI
1194959510
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Former Name
JACKIE D SCHLAGLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 132116)
Enumeration Date
2009-05-13
Last Update Date
2015-12-31
Business Address
-- JACKIE D KUMM F.N.P.
2820 E ROCK HAVEN RD STE 210
HARRISONVILLE, MO 64701-4414
Phone number: 816-380-7470
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Mailing Address
-- JACKIE D KUMM F.N.P.
2820 E ROCK HAVEN ROAD STE 210
HARRISONVILLE, MO 64701
Phone number: 816-380-7470
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