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1194764662
GREGORY T ULTZSCH
WICHITA, KS
NPI
1194764662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KS 54620)
Enumeration Date
2006-06-06
Last Update Date
2008-03-20
Business Address
-- GREGORY T ULTZSCH CRNA
929 N SAINT FRANCIS ST
WICHITA, KS 67214-3821
Phone number: 800-374-5326
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Mailing Address
-- GREGORY T ULTZSCH CRNA
PO BOX 2897
WICHITA, KS 67201-2897
Phone number: 800-374-5326
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