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Individual

MRS. SHARON DARLENE WEIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
39906 E 219TH ST, KINGSVILLE, MO 64061-9279
(816) 865-3392
Mailing address
39906 E 219TH ST, KINGSVILLE, MO 64061-9279

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
6448-9631
MO

Other

Enumeration date
06/29/2007
Last updated
07/08/2007
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