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1194774901
EDMOND HABASH
GREAT BEND, KS
NPI
1194774901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS 1500579)
Enumeration Date
2006-05-09
Last Update Date
2013-08-01
Business Address
EDMOND HABASH P.A-C
3515 BROADWAY AVE SUITE 107
GREAT BEND, KS 67530-3633
Phone number: 620-793-8429
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Mailing Address
EDMOND HABASH P.A-C
PO BOX 310
GREAT BEND, KS 67530-0310
Phone number: 620-786-6475
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