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Individual

DAN KOMIYA-FAKHRAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, BSN

Contact information

Practice address
3707 SW 6TH AVE, TOPEKA, KS 66606-2084
(785) 270-4650
(785) 270-4603
Mailing address
3344 SW MARIPOSA PL, TOPEKA, KS 66614-6500
(785) 608-6125

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
131838
KS

Other

Enumeration date
09/29/2019
Last updated
09/29/2019
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