Individual
HARRIET VANCE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 N MAIN STREET, DIGHTON, KS 67839
(620) 397-5280
(620) 397-5275
Mailing address
PO BOX 760, DIGHTON, KS 67839
(620) 397-5280
(620) 397-5275
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1500696
KS
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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