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1144060260
MACY LICKTEIG
MANHATTAN, KS
NPI
1144060260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
MACY LICKTEIG PA-C
1310 RESEARCH PARK DR
MANHATTAN, KS 66502-5000
Phone number: 785-893-3404
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Mailing Address
MACY LICKTEIG PA-C
4605 N CIMARRON CIR
WICHITA, KS 67205-4600
Phone number: 785-893-3404
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