JACOB LANCE CLOWARD

WICHITA, KS
NPI1962931873
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  94-09202)
Enumeration Date2017-06-06
Last Update Date2022-07-21
Business Address
JACOB LANCE CLOWARD DO
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-962-3070
Mailing Address
JACOB LANCE CLOWARD DO
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-962-3070
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