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1184693541
CHERILYN M DESOUZA
LEAVENWORTH, KS
NPI
1184693541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KS 04-18000)
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
-- CHERILYN M DESOUZA MD
2201 S 4TH ST
LEAVENWORTH, KS 66048-4508
Phone number: 913-772-6030
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Mailing Address
-- CHERILYN M DESOUZA MD
2201 S 4TH ST
LEAVENWORTH, KS 66048-4508
Phone number: 913-248-9693
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