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Individual

MISS AMELIA MARIE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1307 NE TARA CIR, BLUE SPRINGS, MO 64014-1843
(816) 229-8308
Mailing address
1307 NE TARA CIR, BLUE SPRINGS, MO 64014-1843
(816) 223-5299

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2008006817
MO
163W00000X
Registered Nurse
RTP-003571
AR

Other

Enumeration date
07/02/2008
Last updated
07/02/2008
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