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Individual

XIAOWEI QIAO BOMBARDIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMLP

Contact information

Practice address
2708 W 43RD AVE, KANSAS CITY, KS 66103-3125
(913) 708-8247
Mailing address
6306 HEDGE LANE TER APT 102, SHAWNEE, KS 66226-4818
(785) 432-6426

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2583
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051688
KS
Enumeration date
11/20/2014
Last updated
09/22/2016
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