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1679922652
COLIN B LISENBY
WICHITA, KS
NPI
1679922652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KS 04-41606)
Enumeration Date
2016-06-09
Last Update Date
2021-03-30
Business Address
COLIN B LISENBY MD
4722 W KELLOGG DR
WICHITA, KS 67209-2508
Phone number: 316-440-2565
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Mailing Address
COLIN B LISENBY MD
4722 W KELLOGG DR
WICHITA, KS 67209-2508
Phone number: 316-440-2565
Copy
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