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Individual

MRS. NICOLE DAWN LINDEMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 694-0598
Mailing address
1429 NE WHITESTONE DR, LEES SUMMIT, MO 64086-6004
(816) 694-0598

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
005167
MO

Other

Enumeration date
05/04/2007
Last updated
04/19/2011
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