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1861053662
LISA TAY
WICHITA, KS
NPI
1861053662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: KS 53-78834)
Enumeration Date
2019-06-24
Last Update Date
2019-07-24
Business Address
LISA TAY
100 S MARKET ST STE 2C
WICHITA, KS 67202-3824
Phone number: 316-755-0144
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Mailing Address
LISA TAY
100 S MARKET ST STE 2C
WICHITA, KS 67202-3824
Phone number: 316-755-0144
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