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1275605586
JERALD W LEISY
WICHITA, KS
NPI
1275605586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KS 14574)
Enumeration Date
2006-11-14
Last Update Date
2012-04-04
Business Address
Mr. JERALD W LEISY M.D. P.A.
3310 EAST DOUGLAS AVE #101
WICHITA, KS 67208
Phone number: 316-681-2937
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Mailing Address
Mr. JERALD W LEISY M.D. P.A.
3310 EAST DOUGLAS AVE # 101
WICHITA, KS 67208
Phone number: 316-681-2937
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