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1033627153
CANDACE LEBETTE FORD
WICHITA, KS
NPI
1033627153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
CANDACE LEBETTE FORD
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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Mailing Address
CANDACE LEBETTE FORD
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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