GRACE T BANACH

WICHITA, KS
NPI1518589233
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  15-02374)
Enumeration Date2020-05-15
Last Update Date2025-04-28
Business Address
GRACE T BANACH PA
1921 N WEBB RD
WICHITA, KS 67206-3405
Phone number: 316-612-4815
Mailing Address
GRACE T BANACH PA
1921 N WEBB RD
WICHITA, KS 67206-3405
Phone number: 316-612-4815
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