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1013311430
ADRIAN MATTA
WICHITA, KS
NPI
1013311430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 327642)
Enumeration Date
2014-10-14
Last Update Date
2014-10-14
Business Address
-- ADRIAN MATTA
1915 FARMSTEAD STREET
WICHITA, KS 67208
Phone number: 316-210-1486
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Mailing Address
-- ADRIAN MATTA
1915 FARMSTEAD STREET
WICHITA, KS 67208
Phone number: 316-210-1486
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