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1528583010
LANAE KRISTEN FAIRES
WICHITA, KS
NPI
1528583010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KS 1-15445)
Enumeration Date
2017-08-07
Last Update Date
2017-08-07
Business Address
Dr. LANAE KRISTEN FAIRES PharmD, BCPS
2622 W CENTRAL AVE STE 302
WICHITA, KS 67203-4973
Phone number: 316-265-3300
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Mailing Address
Dr. LANAE KRISTEN FAIRES PharmD, BCPS
3921 WILLOW DR
WICHITA, KS 67218-1238
Phone number: 520-975-3531
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