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Individual

DEBRA SHINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
222 S KANSAS ST, RUSSELL, KS 67665-3000
(785) 483-0758
Mailing address
222 S KANSAS ST, RUSSELL, KS 67665-3000
(785) 483-0758

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
123180
KS
363L00000X
Nurse Practitioner
Primary
53-79520-032
KS

Other

Enumeration date
02/06/2020
Last updated
07/08/2020
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