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Individual

EDITH MARLENE SCHOENBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
106 W 10TH ST, ELLIS, KS 67637-1624
(785) 726-3568
(785) 726-3841
Mailing address
106 W 10TH ST, ELLIS, KS 67637-1624
(785) 726-3568
(785) 726-3841

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1350566122
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000664
BLUE CROSS BLUE SHIELD
KS
Enumeration date
08/29/2006
Last updated
07/08/2007
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