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Individual

ELIZABETH YEGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15703 W 128TH ST, OLATHE, KS 66062-1454
(913) 710-8635
Mailing address
15703 W 128TH ST, OLATHE, KS 66062-1454
(913) 710-8635

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79944-122
KS

Other

Enumeration date
03/23/2021
Last updated
03/23/2021
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