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1134901499
CHISHUGI IZUBA OMBA
WICHITA, KS
NPI
1134901499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: KS 1543)
Enumeration Date
2023-10-19
Last Update Date
2023-10-19
Business Address
CHISHUGI IZUBA OMBA
1603 N SPRUCE AVE
WICHITA, KS 67214-2026
Phone number: 316-461-4764
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Mailing Address
CHISHUGI IZUBA OMBA
1603 N SPRUCE AVE
WICHITA, KS 67214-2026
Phone number: 316-461-4764
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