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1003003310
WEST COLLEGE DERMATOLOGY & AESTHETICS, PA
LENEXA, KS
NPI
1003003310
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Entity Type
Organization
Authorized Contact
MICHAEL LEE HAAG
Owner
913-888-3376
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: KS 04-25210)
Enumeration Date
2007-10-01
Last Update Date
2014-06-17
Business Address
WEST COLLEGE DERMATOLOGY & AESTHETICS, PA
11041 HAUSER ST
LENEXA, KS 66210-3708
Phone number: 913-888-3376
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Mailing Address
WEST COLLEGE DERMATOLOGY & AESTHETICS, PA
11041 HAUSER ST
LENEXA, KS 66210-3708
Phone number: 913-888-3376
Copy
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