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1003586132
JARED BASHAW
KANSAS CITY, KS
NPI
1003586132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-01213)
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
JARED BASHAW
1800 VILLAGE WEST PKWY
KANSAS CITY, KS 66111-1825
Phone number: 913-328-5618
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Mailing Address
JARED BASHAW
13320 HAUSER ST APT 3303
OVERLAND PARK, KS 66213-2477
Phone number: 620-218-2855
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