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1003430331
JAVANTHI THEEGALA
WICHITA, KS
NPI
1003430331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KS 94-10256)
Enumeration Date
2020-06-02
Last Update Date
2022-05-24
Business Address
JAVANTHI THEEGALA MD
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2665
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Mailing Address
JAVANTHI THEEGALA MD
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2665
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