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1154397255
LARRY THOMAS BUMGUARDNER
WICHITA, KS
NPI
1154397255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KS 0519728)
Enumeration Date
2006-02-27
Last Update Date
2016-01-15
Business Address
DR. LARRY THOMAS BUMGUARDNER D.O.
9505 WEST CENTRAL STE 104
WICHITA, KS 67212-3801
Phone number: 316-312-0002
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Mailing Address
DR. LARRY THOMAS BUMGUARDNER D.O.
9505 WEST CENTRAL STE 104
WICHITA, KS 67212-3801
Phone number: 316-312-0002
Copy
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