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1629536974
SAMUEL RIVERA ORTIZ
KANSAS CITY, KS
NPI
1629536974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: KS 78432)
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
Mr. SAMUEL RIVERA ORTIZ APRN
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160-8501
Phone number: 913-588-1227
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Mailing Address
Mr. SAMUEL RIVERA ORTIZ APRN
10525 CLEVELAND AVE
KANSAS CITY, MO 64137-1621
Phone number: 816-606-5868
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