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 Date2021-03-23
Business Address
GRACE T BANACH PA
9350 E 35TH ST N STE 101
WICHITA, KS 67226-2022
Phone number: 316-265-1308
Mailing Address
GRACE T BANACH PA
9350 E 35TH ST N STE 101
WICHITA, KS 67226-2022
Phone number: 316-265-1308
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