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Individual

JACQUELINE SHEARER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4205
Mailing address
5618 OUTLOOK ST, MISSION, KS 66202-1917

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
1/13749
KS
183500000X
Pharmacist
Primary
41624
MO

Other

Enumeration date
06/27/2014
Last updated
06/27/2014
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