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1487878187
LISA JANE GRESS
OVERLAND PARK, KS
NPI
1487878187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: KS 3675)
Additional Taxonomies
174400000X Specialist
(Licence: MA 9725)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
-- LISA JANE GRESS PT
QUANTUM HEALTH PROFESSIONALS 10300 W 103RD ST., SUITE 300
OVERLAND PARK, KS 66214
Phone number: 913-894-1910
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Mailing Address
-- LISA JANE GRESS PT
20914 W 58TH ST
SHAWNEE, KS 66218-8401
Phone number: 913-327-9166
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