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1760260541
TIFFANY BASHAM
WICHITA, KS
NPI
1760260541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: KS 127513)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
TIFFANY BASHAM RN
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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Mailing Address
TIFFANY BASHAM RN
1954 N BELLICK CT
WICHITA, KS 67235-1552
Phone number: 316-207-2302
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