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1275029647
SHANNON LEIGH DEITCH
INDEPENDENCE, MO
NPI
1275029647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2018024721)
Enumeration Date
2018-07-09
Last Update Date
2018-07-09
Business Address
SHANNON LEIGH DEITCH OD
13900 E US HIGHWAY 40 STE A
INDEPENDENCE, MO 64055-5877
Phone number: 816-478-0500
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Mailing Address
SHANNON LEIGH DEITCH OD
13120 LARSEN ST
OVERLAND PARK, KS 66213-3000
Phone number: 913-221-8589
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