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1477029080
SUSIE HUMPHREYS
LEES SUMMIT, MO
NPI
1477029080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 114598)
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
SUSIE HUMPHREYS
2600 SW WARD RD
LEES SUMMIT, MO 64082-2107
Phone number: 816-718-6518
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Mailing Address
SUSIE HUMPHREYS
2600 SW WARD RD
LEES SUMMIT, MO 64082-2107
Phone number: 816-718-6518
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