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Individual

MRS. SUSAN R. GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
9300 E 29TH ST N, SUITE 310, WICHITA, KS 67226-2182
(316) 858-9000
(316) 858-9005
Mailing address
9300 E 29TH ST N, SUITE 310, WICHITA, KS 67226-2182
(316) 858-9000
(316) 858-9005

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15000887
KS

Other

Enumeration date
05/02/2006
Last updated
09/07/2010
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