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1013224039
MICHAEL LEROY VINYARD
BALDWIN CITY, KS
NPI
1013224039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-02082)
Enumeration Date
2010-09-13
Last Update Date
2010-09-13
Business Address
MR. MICHAEL LEROY VINYARD
930 AMES STREET
BALDWIN CITY, KS 66006
Phone number: 785-594-4100
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Mailing Address
MR. MICHAEL LEROY VINYARD
1305 WAKARUSA DRIVE
LAWRENCE, KS 66049
Phone number: 785-842-3444
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