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Individual

CARISA KAY HEMERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
620 W 3RD ST, CAMERON, MO 64429-1508
(816) 632-0498
Mailing address
620 W 3RD ST, CAMERON, MO 64429-1508
(816) 632-0498

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MO

Other

Enumeration date
11/08/2024
Last updated
11/08/2024
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