CONSTANCE JACOB

WICHITA, KS
NPI1639729726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KS  78963)
Enumeration Date2019-09-19
Last Update Date2019-09-19
Business Address
CONSTANCE JACOB APRN
1919 N AMIDON AVE STE 130
WICHITA, KS 67203-2118
Phone number: 316-660-7675
Mailing Address
CONSTANCE JACOB APRN
271 W 3RD ST N STE 600
WICHITA, KS 67202-1223
Phone number: 316-660-7600
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