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Individual

JEAN DEDONDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., A.P.R.N.

Contact information

Practice address
1105 SUNSET AVE, MANHATTAN, KS 66502-3739
(785) 532-7755
(785) 532-6627
Mailing address
1105 SUNSET AVE, MANHATTAN, KS 66502-3739
(785) 532-7755
(785) 532-6627

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5374002
KS

Other

Enumeration date
06/06/2014
Last updated
06/06/2014
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