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1508255696
IVAN MINNIS
LEAVENWORTH, KS
NPI
1508255696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: KS 65845)
Enumeration Date
2015-01-13
Last Update Date
2015-01-13
Business Address
-- IVAN MINNIS RN
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
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Mailing Address
-- IVAN MINNIS RN
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
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