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Individual

DR. MARILYN R RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
GYN

Contact information

Practice address
12616 W 62ND TER, SHAWNEE, KS 66216-1814
(913) 631-0277
(913) 268-4337
Mailing address
12616 W 62ND TER, SHAWNEE, KS 66216-1814
(913) 631-0277
(913) 268-4337

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KS

Other

Enumeration date
07/24/2006
Last updated
07/08/2007
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