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Individual

MR. PAUL LOGAN ALDEGUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
12010 W 63RD ST, SHAWNEE, KS 66216-1867
(913) 268-8150
(913) 268-8479
Mailing address
12010 W 63RD ST, SHAWNEE, KS 66216-1867
(913) 268-8150
(913) 268-8479

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11935
KS

Other

Enumeration date
02/27/2013
Last updated
02/27/2013
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