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1902519713
LARA LYNN PETRIE
KANSAS CITY, MO
NPI
1902519713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: KS 14-79706-092)
Enumeration Date
2022-12-27
Last Update Date
2022-12-27
Business Address
LARA LYNN PETRIE RN
9001 STATE LINE RD STE 300
KANSAS CITY, MO 64114-3212
Phone number: 816-363-2600
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Mailing Address
LARA LYNN PETRIE RN
4404 NW PAWNEE DR
RIVERSIDE, MO 64150-9685
Phone number: 816-510-9312
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