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1013494467
ANDREA STAFFORD
WICHITA, KS
NPI
1013494467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: KS 78296)
Enumeration Date
2018-07-27
Last Update Date
2018-07-27
Business Address
ANDREA STAFFORD
1491 N COOLIDGE AVE
WICHITA, KS 67203-2982
Phone number: 316-737-5425
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Mailing Address
ANDREA STAFFORD
1491 N COOLIDGE AVE
WICHITA, KS 67203-2982
Phone number: 316-737-5425
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