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1669136479
LESA FULLER
WICHITA, KS
NPI
1669136479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: KS 53-80532)
Enumeration Date
2021-10-27
Last Update Date
2023-03-13
Business Address
LESA FULLER
9350 E 35TH ST N STE 101
WICHITA, KS 67226-2022
Phone number: 315-265-1308
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Mailing Address
LESA FULLER
9350 E 35TH ST N STE 101
WICHITA, KS 67226-2022
Phone number: 316-265-1308
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