JACQUELINE SUE PERDUE-DORATHY

FORT LEAVENWORTH, KS
NPI1285854828
Former NameJACQUELINE SUE PERDUE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: KS  23-27018-081)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
Mr. JACQUELINE SUE PERDUE-DORATHY LPN
550 POPE AVE
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-681-6170
Mailing Address
Mr. JACQUELINE SUE PERDUE-DORATHY LPN
19445 COUNTRYSIDE CIR
WESTON, MO 64098-9127
Phone number: 913-684-6170
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