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1699264697
SAMUEL O OMODING
WICHITA, KS
NPI
1699264697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2018-05-04
Last Update Date
2018-05-04
Business Address
SAMUEL O OMODING
556 S OLIVER ST
WICHITA, KS 67218-2351
Phone number: 205-601-9296
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Mailing Address
SAMUEL O OMODING
556 S OLIVER ST
WICHITA, KS 67218-2351
Phone number: 205-601-9296
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