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Individual

SONDRA J BURLESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
072383
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100184500A
OK
05
100374010A
KS
01
162199
ANTHEM
MO
05
255093205
MO
Enumeration date
06/28/2006
Last updated
05/19/2009
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