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1104296805
COLLEEN J YOUNG
WICHITA, KS
NPI
1104296805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: KS 15-01820)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
-- COLLEEN J YOUNG PA-C
1861 N ROCK RD SUITE 310
WICHITA, KS 67206-4200
Phone number: 316-612-1833
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Mailing Address
-- COLLEEN J YOUNG PA-C
1861 N ROCK ROAD SUITE 310
WICHITA, KS 67206-1264
Phone number: 316-612-1833
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