QUEENY POULOSE

LEAVENWORTH, KS
NPI1851340707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KS  17431)
Enumeration Date2006-05-09
Last Update Date2007-07-08
Business Address
-- QUEENY POULOSE M. D.
4101 S 4TH ST
LEAVENWORTH, KS 66048-5014
Phone number: 913-682-2000
Mailing Address
-- QUEENY POULOSE M. D.
4101 S 4TH ST
LEAVENWORTH, KS 66048-5014
Phone number: 913-682-2000
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