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1114954740
CHARLES D PENCE
WICHITA, KS
NPI
1114954740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: KS 14229)
Enumeration Date
2006-06-27
Last Update Date
2007-07-13
Business Address
-- CHARLES D PENCE MD
1947 FOUNDERS ST
WICHITA, KS 67206-3548
Phone number: 316-689-9175
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Mailing Address
-- CHARLES D PENCE MD
PO BOX 8035
WICHITA, KS 67208-0035
Phone number: 316-689-9135
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