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1124591185
LAQUITA PATRICE BOYEDE
WICHITA, KS
NPI
1124591185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
MRS. LAQUITA PATRICE BOYEDE MD
1503 NORTHEAST PARKWAY
WICHITA, KS 67214
Phone number: 877-340-3242
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Mailing Address
MRS. LAQUITA PATRICE BOYEDE MD
638 SOUTH IDA STREET DYNAMIC MEDICAL SERVICES LLC.
WICHITA, KS 67211
Phone number: 240-505-1283
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