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Organization

SUNFLOWER MEDICAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL DAWN LEIS FNP (OWNER)
(785) 713-2395
Entity
Organization

Contact information

Practice address
107 S 8TH ST, MARYSVILLE, KS 66508-1831
(785) 713-2395
Mailing address
107 S 8TH ST, MARYSVILLE, KS 66508-1831
(785) 713-2395

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
05/16/2022
Last updated
02/02/2023
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