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1790140150
SHELLY C. CRADER
WICHITA, KS
NPI
1790140150
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Former Name
SHELLY C. DARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KS 53-77054)
Enumeration Date
2015-12-29
Last Update Date
2015-12-29
Business Address
-- SHELLY C. CRADER APRN
2318 E CENTRAL AVE
WICHITA, KS 67214-4436
Phone number: 316-262-3611
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Mailing Address
-- SHELLY C. CRADER APRN
2318 E CENTRAL AVE
WICHITA, KS 67214-4436
Phone number: 316-262-3611
Copy
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