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Individual

STEPHEN MUISYO MAWEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13830 SANTAFE TRAIL DRIVE, SUITE # 109, LENEXA, KS 66215
(913) 626-1307
Mailing address
PO BOX 34, BELTON, MO 64012-0034
(913) 626-1307

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2023011241
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-82284-012
KS

Other

Enumeration date
06/06/2023
Last updated
07/19/2023
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