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Individual

ROGELIO ALFONSO MORIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSFA

Contact information

Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 632-2200
Mailing address
7821 ROSEWOOD LN, PRAIRIE VILLAGE, KS 66208-4453
(720) 233-0457

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
246ZS0410X
Surgical Technologist

Other

Enumeration date
02/12/2020
Last updated
02/12/2020
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