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Individual

WILLIAM LABERGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
201 E FLAMING RD, OLATHE, KS 66061-5343
(913) 829-2273
Mailing address
7810 W 85TH ST APT B, OVERLAND PARK, KS 66212-1900

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
14-02031
KS

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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