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Organization

SOUTHWEST FAMILY MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUVY JABEL (NURSE PRACTITIONER)
(620) 624-2565
Entity
Organization

Contact information

Practice address
102 E 11TH ST, LIBERAL, KS 67901-2784
(620) 624-2565
Mailing address
102 E 11TH ST, LIBERAL, KS 67901-2784
(620) 624-2565

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18124
KS
363LF0000X
Family Nurse Practitioner
5345642
KS
363LF0000X
Family Nurse Practitioner
5376034072
KS

Other

Enumeration date
12/04/2013
Last updated
12/04/2013
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