Individual
KATIE DIANE MISPAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S MILL ST, BELOIT, KS 67420-3237
(785) 738-2285
(785) 738-5144
Mailing address
PO BOX 525, BELOIT, KS 67420-0525
(785) 738-2285
(785) 738-5144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100477
KS
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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