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1760049100
PIE PICHETSURNTHORN
WICHITA, KS
NPI
1760049100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: KS 94-09830)
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
PIE PICHETSURNTHORN
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2665
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Mailing Address
PIE PICHETSURNTHORN
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2665
Copy
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