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Individual

MRS. JACKI RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
112 NE GASLIGHT LN, BLUE SPRINGS, MO 64014-1334
(816) 223-4799
Mailing address
112 NE GASLIGHT LN, BLUE SPRINGS, MO 64014-1334

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
147215
MO

Other

Enumeration date
03/08/2012
Last updated
03/08/2012
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