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1376278473
TINA LE
DERBY, KS
NPI
1376278473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 53-80622-051)
Enumeration Date
2022-07-21
Last Update Date
2023-09-14
Business Address
TINA LE APRN
1624 N ROCK RD
DERBY, KS 67037-3718
Phone number: 316-554-2126
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Mailing Address
TINA LE APRN
1624 N ROCK RD
DERBY, KS 67037-3718
Phone number: 316-554-2126
Copy
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