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Individual

MR. LON MARSHAL HOSEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
11411 E KELLOGG DR, WICHITA, KS 67207-1928
(316) 683-8463
Mailing address
PO BOX 28, GODDARD, KS 67052-0028
(316) 708-7626

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-106260
KS

Other

Enumeration date
04/06/2019
Last updated
04/06/2019
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