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Individual

MRS. CARINA LOUREA CUSUMANO-BAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5100 ROCKHILL RD, KANSAS CITY, MO 64110-2446
(816) 235-1735
Mailing address
1425 NE TAWNY DR, LEES SUMMIT, MO 64086-5945

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2022036976
MO

Other

Enumeration date
12/04/2024
Last updated
12/04/2024
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