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1881390219
JEFFREY SCOTT HALLIWILL
WICHITA, KS
NPI
1881390219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: KS 146545)
Enumeration Date
2023-02-07
Last Update Date
2023-02-07
Business Address
JEFFREY SCOTT HALLIWILL
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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Mailing Address
JEFFREY SCOTT HALLIWILL
15608 E HAZEL NUT CIR
WICHITA, KS 67230-7723
Phone number: 909-435-5368
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