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Individual

KAYLA SHAWNTA LOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
910 CEDAR ST, CLINTON, MO 64735-3049
(816) 553-0103
Mailing address
117 S LEXINGTON ST, 910 CEDAR ST, CLINTON, MO 64735
(816) 553-0103

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
113997
MO

Other

Enumeration date
08/01/2025
Last updated
08/01/2025
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