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1164666772
STACY M ASMUSSEN
WICHITA, KS
NPI
1164666772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: KS 15-00774)
Enumeration Date
2009-04-27
Last Update Date
2021-03-23
Business Address
STACY M ASMUSSEN PA
9350 E 35TH ST N STE 101
WICHITA, KS 67226-2019
Phone number: 316-265-1308
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Mailing Address
STACY M ASMUSSEN PA
9350 E 35TH ST N STE 101
WICHITA, KS 67226-2019
Phone number: 316-265-1308
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