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Individual

JECONIAH BRYCE SPANGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1300 N MAIN ST, NEWTON, KS 67114-1916
(316) 281-9356
Mailing address
916 SE 2ND ST, NEWTON, KS 67114-3924
(316) 217-1097

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-102723
KS

Other

Enumeration date
06/28/2017
Last updated
06/28/2017
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