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Individual

LISA REBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1211 MCGEE ST, ROOM 905-C, KANSAS CITY, MO 64106-2416
(816) 418-7840
(816) 418-1806
Mailing address
1211 MCGEE ST, ROOM 905-C, KANSAS CITY, MO 64106-2416
(816) 418-7840
(816) 418-1806

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000054
MO

Other

Enumeration date
12/11/2006
Last updated
02/03/2010
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