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Individual

HEATHER LEE POLLET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(620) 252-1639
(620) 252-1541
Mailing address
RR 1 BOX 207-50, S COFFEYVILLE, OK 74072-9754

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
14-88134-091
KS
363LF0000X
Family Nurse Practitioner
Primary
53-77703
KS

Other

Enumeration date
06/01/2017
Last updated
06/16/2018
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