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Individual

SHANA E PEDROW

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2102 BAPTISTE DRIVE, PAOLA, KS 66071
(913) 557-5678
(913) 557-5681
Mailing address
2102 BAPTISTE DRIVE, PO BOX 426, PAOLA, KS 66071
(913) 557-5678
(913) 557-5681

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44926
KS

Other

Enumeration date
05/17/2006
Last updated
07/08/2007
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