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1366487100
DONALD J LUELLEN
WICHITA, KS
NPI
1366487100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KS 4772)
Enumeration Date
2006-06-17
Last Update Date
2007-07-13
Business Address
-- DONALD J LUELLEN DDS
3311 E MURDOCK ST
WICHITA, KS 67208-3054
Phone number: 316-689-9798
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Mailing Address
-- DONALD J LUELLEN DDS
PO BOX 8035
WICHITA, KS 67208-0035
Phone number: 316-689-9135
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