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Individual

ASHLEE BREANNA LUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8700 E 29TH ST N, WICHITA, KS 67226-2169
(316) 634-8718
(316) 634-8850
Mailing address
10800 W 133RD TER, OVERLAND PARK, KS 66213-4689
(316) 634-8718
(316) 634-8850

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
KS

Other

Enumeration date
11/06/2014
Last updated
11/06/2014
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