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1518299973
MELISSA ANN POTTEBAUM
KANSAS CITY, MO
NPI
1518299973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: MO 145067)
Enumeration Date
2010-02-09
Last Update Date
2018-02-07
Business Address
Ms. MELISSA ANN POTTEBAUM MSN
5844 NW BARRY RD STE 110
KANSAS CITY, MO 64154-1465
Phone number: 816-880-6100
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Mailing Address
Ms. MELISSA ANN POTTEBAUM MSN
901 E. 104TH ST. MAILSTOP 400N
KANSAS CITY, MO 64131
Phone number: 816-502-7104
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