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1275059164
JAMIE DERLETH
KANSAS CITY, MO
NPI
1275059164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 051655)
Enumeration Date
2017-08-22
Last Update Date
2017-08-22
Business Address
JAMIE DERLETH LPN
1000 E 24TH ST
KANSAS CITY, MO 64108-2776
Phone number: 816-965-1156
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Mailing Address
JAMIE DERLETH LPN
1000 E 24TH ST
KANSAS CITY, MO 64108-2776
Phone number: 816-965-1156
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