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1841887551
JAMIE LYNN SHADDIX
WICHITA, KS
NPI
1841887551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 53-79999)
Enumeration Date
2020-12-29
Last Update Date
2021-08-30
Business Address
JAMIE LYNN SHADDIX APRN
310 S HILLSIDE ST
WICHITA, KS 67211-2129
Phone number: 316-264-3505
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Mailing Address
JAMIE LYNN SHADDIX APRN
310 S HILLSIDE ST
WICHITA, KS 67211-2129
Phone number: 316-264-3505
Copy
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