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Individual

MRS. SUSANNA ELIZABETH JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3241
(816) 932-0340
Mailing address
15312 BARTON ST, OVERLAND PARK, KS 66221-7883
(913) 563-9261

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MO

Other

Enumeration date
11/13/2021
Last updated
02/08/2022
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