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1457942856
AMBER GRACE FERN
GREAT BEND, KS
NPI
1457942856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: KS 53-79827-032)
Enumeration Date
2021-01-28
Last Update Date
2021-06-22
Business Address
AMBER GRACE FERN NURSE PRACTITIONER
3515 BROADWAY AVE
GREAT BEND, KS 67530-3633
Phone number: 620-792-2511
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Mailing Address
AMBER GRACE FERN NURSE PRACTITIONER
3515 BROADWAY AVE
GREAT BEND, KS 67530-3633
Phone number: 620-792-2511
Copy
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