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1245549278
TEREASA LYNNETTE PICKERT
LEAWOOD, KS
NPI
1245549278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS 15-01416)
Enumeration Date
2010-09-24
Last Update Date
2018-10-30
Business Address
TEREASA LYNNETTE PICKERT PA-C
4801 COLLEGE BLVD
LEAWOOD, KS 66211-1628
Phone number: 913-956-2250
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Mailing Address
TEREASA LYNNETTE PICKERT PA-C
1000 CARONDELET DR PROVIDER ENROLLMENT
KANSAS CITY, MO 64114
Phone number: 816-943-5744
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