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1821687864
TEADORA LOCKE
LIBERTY, MO
NPI
1821687864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 2021001526)
Enumeration Date
2021-01-14
Last Update Date
2023-03-22
Business Address
TEADORA LOCKE
1860 N CHURCH RD
LIBERTY, MO 64068-7179
Phone number: 816-415-2828
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Mailing Address
TEADORA LOCKE
1860 N CHURCH RD
LIBERTY, MO 64068-7179
Phone number: 816-415-2828
Copy
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