AMANDA J BLACKMORE

WICHITA, KS
NPI1326353350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  15-01405)
Enumeration Date2010-08-14
Last Update Date2014-02-10
Business Address
Ms. AMANDA J BLACKMORE PA-C
1100 N SAINT FRANCIS ST STE 130
WICHITA, KS 67214-2878
Phone number: 316-264-3505
Mailing Address
Ms. AMANDA J BLACKMORE PA-C
1100 N SAINT FRANCIS ST STE 130
WICHITA, KS 67214-2878
Phone number: 316-264-3505
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