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Individual

LUIS M FUERTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24-21129-101
KS

Other

Enumeration date
08/17/2011
Last updated
08/17/2011
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