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1912029869
WAYNE REUBEN LIUDAHL
WICHITA, KS
NPI
1912029869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KS 5312)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
WAYNE REUBEN LIUDAHL DDS
4805 W CENTRAL
WICHITA, KS 67212
Phone number: 316-945-9845
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Mailing Address
WAYNE REUBEN LIUDAHL DDS
4805 W CENTRAL
WICHITA, KS 67212
Phone number: 316-945-9845
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