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Individual

JUSTIN JURGENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
520 S SANTA FE AVE, SALINA, KS 67401-4190
(785) 827-2238
Mailing address
732 RITTGERS, SALIN, KS 67401
(785) 845-2544

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
108284
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557286
KS

Other

Enumeration date
07/14/2014
Last updated
10/30/2014
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