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1902294796
LATHA VARGHESE
SAINT JOSEPH, MO
NPI
1902294796
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Former Name
LATHA RAMAKRISHNA KURUP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 2014004532)
Enumeration Date
2014-12-31
Last Update Date
2015-03-12
Business Address
-- LATHA VARGHESE APn
902 N RIVERSIDE RD STE. 200
SAINT JOSEPH, MO 64507-2518
Phone number: 816-271-1301
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Mailing Address
-- LATHA VARGHESE APn
902 N RIVERSIDE RD STE. 200
SAINT JOSEPH, MO 64507-2518
Phone number: 816-271-1301
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