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1376012849
LAURA ELIZABETH FULBROOK
WICHITA, KS
NPI
1376012849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: KS 53-78475-092)
Enumeration Date
2018-11-14
Last Update Date
2019-03-25
Business Address
LAURA ELIZABETH FULBROOK
1358 S SIERRA HILLS ST
WICHITA, KS 67230-7548
Phone number: 617-699-2960
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Mailing Address
LAURA ELIZABETH FULBROOK
1358 S SIERRA HILLS ST
WICHITA, KS 67230-7548
Phone number: 617-699-2960
Copy
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