NELLIE NICOLE SAMPLE

WICHITA, KS
NPI1275007809
Former NameNELLIE NICOLE SWOBODA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: KS  14-107167)
Enumeration Date2019-01-16
Last Update Date2019-01-16
Business Address
NELLIE NICOLE SAMPLE CPhT
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
Mailing Address
NELLIE NICOLE SAMPLE CPhT
1402 W CALVERT ST
WICHITA, KS 67217-2722
Phone number: 316-932-8020
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