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Individual

RENEE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
9001 STATE LINE RD, KANSAS CITY, MO 64114-3232
(816) 444-2273
Mailing address
206 BOWMAN ST, HARRISONVILLE, MO 64701-3118

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2004009490
MO
164W00000X
Licensed Practical Nurse
2435967122
KS

Other

Enumeration date
06/28/2017
Last updated
06/28/2017
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