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1104666908
MARY SAMBOU
WICHITA, KS
NPI
1104666908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: KS B087271)
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
MARY SAMBOU
742 W 50TH CT S
WICHITA, KS 67217-5025
Phone number: 316-399-5479
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Mailing Address
MARY SAMBOU
742 W 50TH CT S
WICHITA, KS 67217-5025
Phone number: 316-399-5479
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