SUSAN GAYLE POLK

FORT LEAVENWORTH, KS
NPI1679647812
Former NameSUSAN GAYLE HANEGAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: KS  14-97418-081)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
-- SUSAN GAYLE POLK RN
550 POPE AVE MUNSON ARMY HEALTH CENTER ATTN MCXN-COD, MS COTTON
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-6562
Mailing Address
-- SUSAN GAYLE POLK RN
412 BROOKWOOD ST
LANSING, KS 66043-1488
Phone number: 913-727-5283
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