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1316912314
TOMMIE LEE MCKIBBAN
EL DORADO, KS
NPI
1316912314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KS 54002)
Enumeration Date
2006-02-22
Last Update Date
2011-05-12
Business Address
-- TOMMIE LEE MCKIBBAN CRNA
720 WEST CENTRAL
EL DORADO, KS 67042
Phone number: 316-321-3300
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Mailing Address
-- TOMMIE LEE MCKIBBAN CRNA
PO BOX 388
NEWTON, KS 67114-0388
Phone number: 316-281-3700
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