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Individual

CHEYENNE HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22214 D ST, WINFIELD, KS 67156-7376
(620) 221-9664
Mailing address
PO BOX 688, INDEPENDENCE, KS 67301-0688

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44610
KS

Other

Enumeration date
06/09/2017
Last updated
06/09/2017
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