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1902034614
ROBERT LEROY ULLOM
WICHITA, KS
NPI
1902034614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KS 04-34369)
Enumeration Date
2009-07-01
Last Update Date
2022-10-27
Business Address
ROBERT LEROY ULLOM MD
8200 W CENTRAL AVE STE 1
WICHITA, KS 67212-3661
Phone number: 316-491-6340
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Mailing Address
ROBERT LEROY ULLOM MD
8200 W CENTRAL AVE STE 1
WICHITA, KS 67212-3661
Phone number: 316-721-4544
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