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1740589142
SUSANN M BRISENO
OVERLAND PARK, KS
NPI
1740589142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KS 2011002166)
Enumeration Date
2011-03-24
Last Update Date
2016-03-23
Business Address
-- SUSANN M BRISENO NP
10601 QUIVIRA RD STE 200
OVERLAND PARK, KS 66215-2310
Phone number: 913-541-3340
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Mailing Address
-- SUSANN M BRISENO NP
901 E 104TH ST STE 200
KANSAS CITY, MO 64131-4517
Phone number: 913-541-3340
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