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Individual

MRS. LISA MARIE SOBBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
8509 STATE LINE RD, KANSAS CITY, MO 64114-2723
(816) 444-0019
Mailing address
3405 NE 48TH TER, KANSAS CITY, MO 64119-3519
(816) 260-3125

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044948
MO

Other

Enumeration date
06/28/2011
Last updated
06/28/2011
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