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1174220453
CLARISSA GREENLEAF
WICHITA, KS
NPI
1174220453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1101X Technician/Technologist, Ophthalmic Assistant
(Licence: KS 209486)
Enumeration Date
2023-02-08
Last Update Date
2023-02-08
Business Address
CLARISSA GREENLEAF COA
949 S GLENDALE ST
WICHITA, KS 67218-3210
Phone number: 316-685-2221
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Mailing Address
CLARISSA GREENLEAF COA
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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