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1194079277
SHAWN C VREDENBURG
WICHITA, KS
NPI
1194079277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS T03473)
Enumeration Date
2012-10-29
Last Update Date
2012-11-13
Business Address
Mr. SHAWN C VREDENBURG PA
3311 E MURDOCK ST
WICHITA, KS 67208-3054
Phone number: 316-689-9107
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Mailing Address
Mr. SHAWN C VREDENBURG PA
1121 S DODGE AVE
WICHITA, KS 67213-4436
Phone number: 316-617-8546
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