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Organization
WESTERN ROOTS MEDICAL CLINIC LLC
Active
Organization
WESTERN ROOTS MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE RACHELLE BRIGGS APRN (SOLE MEMBER)
(785) 953-5953
Entity
Organization
Contact information
Practice address
123 E 2ND ST, GRAINFIELD, KS 67737-3505
(405) 301-2708
Mailing address
PO BOX 21, GRAINFIELD, KS 67737-0021
(785) 953-5953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
09/06/2024
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