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1225855018
MIA TALLEY
WICHITA, KS
NPI
1225855018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS 15-02978)
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
MIA TALLEY PA-C
550 N HILLSIDE ST
WICHITA, KS 67214-4976
Phone number: 316-962-2000
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Mailing Address
MIA TALLEY PA-C
3012 YELLOWSTONE DR
LAWRENCE, KS 66047-2728
Phone number:
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