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1215586953
GENEVA DELORSE JAMES
WICHITA, KS
NPI
1215586953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician Attendant Care Provider
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
GENEVA DELORSE JAMES SOLE PROPRIETOR
3920 MEADOW LN
WICHITA, KS 67218-4034
Phone number: 316-227-7779
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Mailing Address
GENEVA DELORSE JAMES SOLE PROPRIETOR
3920 MEADOW LN
WICHITA, KS 67218-4034
Phone number: 316-227-7779
Copy
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