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1114400199
ANNA WADDELL
WICHITA, KS
NPI
1114400199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KS 78178)
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
ANNA WADDELL
3450 N ROCK RD STE 503
WICHITA, KS 67226-1355
Phone number: 316-312-0002
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Mailing Address
ANNA WADDELL
2402 N VINEGATE CIR
WICHITA, KS 67226-3652
Phone number:
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