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1164197885
IAN BURFORD
WICHITA, KS
NPI
1164197885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: CPO04214)
Additional Taxonomies
222Z00000X Orthotist
(Licence: CPO04214)
Enumeration Date
2021-08-13
Last Update Date
2021-08-13
Business Address
IAN BURFORD CPO
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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Mailing Address
IAN BURFORD CPO
120 E 1ST ST N APT 6I
WICHITA, KS 67202-2044
Phone number: 316-641-8540
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