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Individual

JAMES D SIEBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3150 S SENECA ST, WICHITA, KS 67217-3235
(316) 555-4789
Mailing address
11316 W VALLEY HI DR, WICHITA, KS 67209-1041
(316) 440-3773

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-09215
KS

Other

Enumeration date
08/30/2011
Last updated
08/30/2011
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