DIANA JAZMIN BETANCOURT

LEAVENWORTH, KS
NPI1669188165
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207PS0010X Emergency Medicine, Sports Medicine
(Licence: KS  000000000000)
Enumeration Date2023-01-27
Last Update Date2023-01-27
Business Address
DIANA JAZMIN BETANCOURT
4100 S 4TH ST
LEAVENWORTH, KS 66048-5082
Phone number: 913-758-6188
Mailing Address
DIANA JAZMIN BETANCOURT
4100 S 4TH ST
LEAVENWORTH, KS 66048-5082
Phone number: 913-758-6188
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