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Individual

PATRICIA SHORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
429 S 20TH ST, FREDONIA, KS 66736-1753
(620) 378-3525
Mailing address
429 S 20TH ST, FREDONIA, KS 66736-1753
(620) 378-3525

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
13-62-84-061
KS

Other

Enumeration date
12/04/2006
Last updated
12/03/2010
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