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1679910285
GEORGE STEPHEN GRANBERRY
WICHITA, KS
NPI
1679910285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS 15-01611)
Enumeration Date
2013-05-23
Last Update Date
2013-05-23
Business Address
-- GEORGE STEPHEN GRANBERRY PA-C
2778 N WEBB RD
WICHITA, KS 67226-8112
Phone number: 316-631-1600
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Mailing Address
-- GEORGE STEPHEN GRANBERRY PA-C
2778 N WEBB RD
WICHITA, KS 67226-8112
Phone number: 316-631-1600
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