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Individual

MARY ANN WOODRUFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
405 FREMONT, WATHENA, KS 66090
(785) 989-4941
(913) 365-5606
Mailing address
PO BOX 111, WATHENA, KS 66090-0111
(785) 989-4941
(913) 365-5606

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3747A065OX
KS
05
3747P1801X
KS
Enumeration date
04/20/2007
Last updated
09/11/2025
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