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Individual

JULIE CECILE SHORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7348 W 21ST ST N STE 121, WICHITA, KS 67205-1765
(316) 722-0103
(316) 722-2333
Mailing address
2202 S UPLAND HILLS ST, WICHITA, KS 67235-1066
(316) 200-1183

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
53-78060-042
KS

Other

Enumeration date
02/20/2018
Last updated
02/20/2018
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