Individual
STEVEN DEJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13534 W MAPLE ST, WICHITA, KS 67235-8754
(316) 773-3162
Mailing address
13534 W MAPLE ST, WICHITA, KS 67235-8754
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116626
KS
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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