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1720412851
LAUREN A AMY
BLOOM, KS
NPI
1720412851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: KS 1501625)
Enumeration Date
2013-08-26
Last Update Date
2018-12-18
Business Address
LAUREN A AMY PAC
222 MAIN ST
BLOOM, KS 67865-8511
Phone number: 620-885-4202
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Mailing Address
LAUREN A AMY PAC
PO BOX 127
MINNEOLA, KS 67865-0127
Phone number: 620-885-4202
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