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PROVIDENCE CARE AN OPERATING DIVISION OF PROVIDENCE MEDICAL CTR

General Practice Physician

NPI: 1700921970Organization

Specialties, Licenses & Credentials

General Practice PhysicianPrimary

General Practice

Code: 208D00000X

Contact & Hours

Address
913 SHEIDLEY AVE
BONNER SPRINGS, KS 66012

Quick Facts

NPI
1700921970
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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