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1861468878
MARILYN BASSELL
WICHITA, KS
NPI
1861468878
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Former Name
MARILYN VANDERGRIFF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KS 54325)
Enumeration Date
2006-02-28
Last Update Date
2009-01-15
Business Address
-- MARILYN BASSELL CRNA
550 N HILLSIDE ST
WICHITA, KS 67214-4910
Phone number: 316-789-8444
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Mailing Address
-- MARILYN BASSELL CRNA
PO BOX 47890
WICHITA, KS 67201-7890
Phone number: 316-685-6112
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