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1205075801
BJM FAIRY GODMOTHER LLC
KANSAS CITY, MO
NPI
1205075801
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Entity Type
Organization
Authorized Contact
BARBARA JEAN MARVIN
President
913-220-2435
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2009-02-05
Last Update Date
2009-02-05
Business Address
BJM FAIRY GODMOTHER LLC
6170 SNI A BAR RD
KANSAS CITY, MO 64129-1955
Phone number: 913-220-2435
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Mailing Address
BJM FAIRY GODMOTHER LLC
6170 SNI A BAR RD
KANSAS CITY, MO 64129-1955
Phone number: 913-220-2435
Copy
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