LAURA M BLACK

WICHITA, KS
NPI1821302852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  15-01419)
Enumeration Date2010-08-02
Last Update Date2015-11-23
Business Address
-- LAURA M BLACK PA-C
3311 E MURDOCK ST
WICHITA, KS 67208-3054
Phone number: 316-689-9107
Mailing Address
-- LAURA M BLACK PA-C
PO BOX 8035
WICHITA, KS 67208-0035
Phone number: 316-689-9135
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