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1285988204
SHANDA TENNEIL BERRY
EL DORADO, KS
NPI
1285988204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: KS 13112826101)
Enumeration Date
2012-10-29
Last Update Date
2012-10-29
Business Address
Mrs. SHANDA TENNEIL BERRY RN
2365 W CENTRAL AVE
EL DORADO, KS 67042-3208
Phone number: 316-321-6036
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Mailing Address
Mrs. SHANDA TENNEIL BERRY RN
520 E AUGUSTA AVE
AUGUSTA, KS 67010-2100
Phone number: 316-775-5491
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