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1437684560
SUSAN ROOT
LEES SUMMIT, MO
NPI
1437684560
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Former Name
SUSAN ROOT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: KS 53-77374)
Enumeration Date
2017-04-26
Last Update Date
2017-04-26
Business Address
-- SUSAN ROOT
3066 SW GRANDSTAND CIR
LEES SUMMIT, MO 64081-3866
Phone number: 913-215-5008
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Mailing Address
-- SUSAN ROOT
PO BOX 875743
KANSAS CITY, MO 64187-5743
Phone number: 913-215-5008
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