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Individual

ANGELA LYNN O'HARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
830 E MAIN ST, GARDNER, KS 66030-1287
(913) 390-6666
Mailing address
830 E MAIN ST, GARDNER, KS 66030-1287

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
139710
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200633780A
KS
Enumeration date
11/10/2009
Last updated
07/14/2015
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