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JUSTINE R FROUDE IDMT

Individual Provider (NPI-1) Active

Military Health Care Provider, Independent Duty Medical Technicians

Provider Information

NPI Number
1568960342
Provider Type
Individual Provider (NPI-1)
Credentials
IDMT
Status
Active

Contact & Location

Address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS, 672213506
Phone
(316) 759-4648

Specialties & Taxonomies

Military Health Care Provider, Independent Duty Medical Technicians Primary

All Addresses

MAILING

2425 N NEWBERRY ST APT 3102

DERBY, KS, 670374404

(816) 877-1313

LOCATION

57950 LEAVENWORTH ST

MCCONNELL AFB, KS, 672213506

(316) 759-4648