TRAVIS ALAN JANUARY

WICHITA, KS
NPI1598019861
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: KS  13-94085-041)
Enumeration Date2012-11-07
Last Update Date2012-11-07
Business Address
-- TRAVIS ALAN JANUARY RN
551 N HILLSIDE ST
WICHITA, KS 67214-4923
Phone number: 316-962-2623
Mailing Address
-- TRAVIS ALAN JANUARY RN
551 N HILLSIDE ST
WICHITA, KS 67214-4923
Phone number: 316-962-2623
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