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1992095996
TRACIE LANAY JOHNSON
LEES SUMMIT, MO
NPI
1992095996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MO 2002019955)
Enumeration Date
2011-04-11
Last Update Date
2011-04-11
Business Address
-- TRACIE LANAY JOHNSON RN
901 NE INDEPENDENCE AVE
LEES SUMMIT, MO 64086-5544
Phone number: 816-347-3268
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Mailing Address
-- TRACIE LANAY JOHNSON RN
901 NE INDEPENDENCE AVE
LEES SUMMIT, MO 64086-5544
Phone number: 816-347-3268
Copy
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