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1508297300
AILEEN DEETER
LEES SUMMIT, MO
NPI
1508297300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse Psychiatric/Mental Health, Adult
(Licence: MO 2011035320)
Enumeration Date
2013-12-03
Last Update Date
2013-12-03
Business Address
AILEEN DEETER
901 NE INDEPENDENCE AVE
LEES SUMMIT, MO 64086-5544
Phone number: 816-347-3281
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Mailing Address
AILEEN DEETER
7110 LACKMAN RD APT 305
SHAWNEE, KS 66217-8321
Phone number: 479-685-1915
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