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MRS. SASHA DANAE SULLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8200 E THORN DR, WICHITA, KS 67226-2709
(316) 719-3279
Mailing address
2085 S FIELDCREST ST, WICHITA, KS 67209-3203
(316) 304-9826

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
115734
KS

Other

Enumeration date
08/05/2020
Last updated
08/05/2020
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