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TANESHA ANTANETTE HURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2007
Mailing address
2614 VICTOR ST, KANSAS CITY, MO 64128-1161
(816) 716-3309

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
2005031370
MO

Other

Enumeration date
03/03/2008
Last updated
03/03/2008
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