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Individual

EMMILEE QUALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
929 N SAINT FRANCIS AVE, WICHITA, KS 67214-3821
(832) 517-2414
Mailing address
7942 E DUBLIN CT, WICHITA, KS 67206-1612

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
252134
KS

Other

Enumeration date
08/26/2021
Last updated
08/26/2021
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