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1104925916
ALTA SUE KLICK
WICHITA, KS
NPI
1104925916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 45475)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
-- ALTA SUE KLICK ARNP
2456 N WOODLAWN ST
WICHITA, KS 67220-3968
Phone number: 316-689-8677
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Mailing Address
-- ALTA SUE KLICK ARNP
742 W SUNRISE DR
WICHITA, KS 67217-5336
Phone number: 316-689-8677
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