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Individual

JUDI M KRUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN,BC

Contact information

Practice address
1200 W 22ND ST, HIGGINSVILLE, MO 64037-1420
(660) 584-7751
(660) 584-8261
Mailing address
79 BEACH DR, LAKE TAPAWINGO, MO 64015-9686
(816) 803-8542

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN075514
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428502108
MO
Enumeration date
10/19/2006
Last updated
01/07/2010
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