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1932965738
DAKOTA BAIN
SHAWNEE, KS
NPI
1932965738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 53-82761-042)
Enumeration Date
2024-02-28
Last Update Date
2024-02-28
Business Address
DAKOTA BAIN APRN
6028 LONGVIEW RD
SHAWNEE, KS 66218-9253
Phone number: 913-940-5195
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Mailing Address
DAKOTA BAIN APRN
6028 LONGVIEW RD
SHAWNEE, KS 66218-9253
Phone number: 913-940-5195
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