Individual
MRS. SARA ANNE DAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
505 POPE, FT. LEAVENWORTH, KS 66027-0000
(913) 684-6109
Mailing address
19148 258TH, ATCHISON, KS 66002-0000
(913) 367-4583
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-29615-105
KS
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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