VONGSAVANH TED PHIMSIPRASOM

WICHITA, KS
NPI1053099630
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: KS  112882)
Enumeration Date2023-07-05
Last Update Date2023-07-05
Business Address
VONGSAVANH TED PHIMSIPRASOM RN
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-803-2356
Mailing Address
VONGSAVANH TED PHIMSIPRASOM RN
11436 E PINE MEADOW CT
WICHITA, KS 67206-7202
Phone number: 316-992-7290
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