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1215792593
BAILEY NICOLE JOHNSON
WICHITA, KS
NPI
1215792593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
BAILEY NICOLE JOHNSON PAC
929 ST FRANCIS
WICHITA, KS 67214
Phone number: 316-268-5000
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Mailing Address
BAILEY NICOLE JOHNSON PAC
301 N OLD MANOR RD
WICHITA, KS 67208-4140
Phone number: 785-473-8966
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