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1316057185
JIMMY LEE SHADID
WICHITA, KS
NPI
1316057185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KS 4428)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. JIMMY LEE SHADID DDS
3367 E 47TH SOUTH
WICHITA, KS 67216
Phone number: 316-524-5851
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Mailing Address
Dr. JIMMY LEE SHADID DDS
3367 E 47TH SOUTH
WICHITA, KS 67216
Phone number: 316-524-5851
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