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Individual

TARA WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14934 W SANDWEDGE CT, WICHITA, KS 67235-8009
(918) 623-7771
Mailing address
14934 W SANDWEDGE CT, WICHITA, KS 67235-8009
(918) 623-7771

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2024040844
MO

Other

Enumeration date
02/22/2025
Last updated
02/22/2025
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