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1427364595
SAMANTHA L VISSER
FORT LEONARD WOOD, MO
NPI
1427364595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2004006253)
Enumeration Date
2010-08-26
Last Update Date
2010-08-26
Business Address
Mrs. SAMANTHA L VISSER L.P.N.
126 MISSOURI AVE BOX 1227
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-3150
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Mailing Address
Mrs. SAMANTHA L VISSER L.P.N.
126 MISSOURI AVE BOX 1227
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-3150
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