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Individual

JESSE HELMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8509 STATE LINE RD, 1436, KANSAS CITY, MO 64114-2723
(816) 444-0019
Mailing address
8509 STATE LINE RD, 1436, KANSAS CITY, MO 64114-2723
(816) 444-0019

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-15150
KS
183500000X
Pharmacist
Primary
2012027066
MO

Other

Enumeration date
10/16/2012
Last updated
10/16/2012
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