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Individual

MRS. GAELA ANNE FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN/

Contact information

Practice address
13201 E. 53RD STREET, KANSAS CITY, MO 64133
(816) 786-9532
Mailing address
13201 E. 53RD STREET, KANSAS CITY, MO 64133
(816) 786-9532

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
044252
MO

Other

Enumeration date
10/15/2010
Last updated
10/15/2010
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