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1255311783
MARK EWERTZ
WICHITA, KS
NPI
1255311783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KS 55409)
Enumeration Date
2006-01-19
Last Update Date
2007-07-08
Business Address
-- MARK EWERTZ CRNA
1515 S CLIFTON AVE #200
WICHITA, KS 67218-2900
Phone number: 316-618-1515
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Mailing Address
-- MARK EWERTZ CRNA
1515 S CLIFTON AVE #200
WICHITA, KS 67218-2900
Phone number: 316-618-1515
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