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Individual

MRS. SUSIE RACHELLE DECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 N 3RD ST, BURLINGTON, KS 66839-1354
(620) 364-5622
(620) 364-2376
Mailing address
PO BOX 63, BURLINGTON, KS 66839-0063
(620) 364-5622
(620) 364-2376

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
04/07/2007
Last updated
07/08/2007
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