Provider First Line Business Practice Location Address:
201 N WATER ST
Provider Second Line Business Practice Location Address:
SPECIAL ED DEPT
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67202-1292
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-973-4710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2006