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NPI Provider: 1629075049
Contact Name: Rollo M Debra
Position: Manager
Phone: (785) 842-6644
General Surgery Pa Information:
General Surgery Pa organization have npi 1629075049, taxonomy code is 208600000X with license number is 0703DC in . This Business address located in 346 Maine St, Lawrence, KS 66044 Kansas. Get directions of General Surgery Pa.
Practice Location
Address: 346 Maine St, Lawrence, KS 66044
Phone: (785) 842-6644
Business Location
Address: 346 Maine St, Lawrence, KS 66044
Phone: (785) 842-6644
Fax: (785) 842-0348
Taxonomy
Taxonomy Code: 208600000X
License Number: 0703DC
License Number of State: KS
Primary Taxonomy Switch: Y
Enumeration Date: 6/30/2005
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