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Individual

MISS SHELBY JORDAN WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EMT-P

Contact information

Practice address
402 N TOPEKA AVE, WICHITA, KS 67202-2414
(316) 570-4125
Mailing address
6108 E MURDOCK ST, WICHITA, KS 67208-3633
(316) 570-4125

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
59334
KS
146L00000X
Paramedic
M5079431
KS

Other

Enumeration date
08/16/2023
Last updated
08/16/2023
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