DIANE IDE

KANSAS CITY, MO
NPI1649331422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: MO  104952)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- DIANE IDE
1211 MCGEE ST ROOM 905-C
KANSAS CITY, MO 64106-2416
Phone number: 816-418-7840
Mailing Address
-- DIANE IDE
1211 MCGEE ST ROOM 905-C
KANSAS CITY, MO 64106-2416
Phone number: 816-418-7840
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