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1114039583
HENRY LEE BUMGARDNER
WICHITA, KS
NPI
1114039583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: KS 997-3)
Enumeration Date
2006-08-31
Last Update Date
2008-10-12
Business Address
DR. HENRY LEE BUMGARDNER O.D.
2205 S SENECA ST
WICHITA, KS 67213-4224
Phone number: 316-264-9131
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Mailing Address
DR. HENRY LEE BUMGARDNER O.D.
2205 S SENECA ST
WICHITA, KS 67213-4224
Phone number: 316-264-9131
Copy
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