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1730465519
GENNEVIEVE T PHAM
WICHITA, KS
NPI
1730465519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS 15-01498)
Enumeration Date
2011-10-25
Last Update Date
2015-02-09
Business Address
-- GENNEVIEVE T PHAM P.A
3311 E MURDOCK ST
WICHITA, KS 67208-3054
Phone number: 316-689-9107
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Mailing Address
-- GENNEVIEVE T PHAM P.A
PO BOX 8035
WICHITA, KS 67208-0035
Phone number: 316-689-9135
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