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1437307220
FRANK PROVENZANO
WICHITA, KS
NPI
1437307220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: KS 7110)
Enumeration Date
2008-09-04
Last Update Date
2008-09-04
Business Address
-- FRANK PROVENZANO MD
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-962-3030
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Mailing Address
-- FRANK PROVENZANO MD
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-962-3030
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