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1023421583
GERARDO IVAN ESPINO
WICHITA, KS
NPI
1023421583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 1800783)
Enumeration Date
2014-06-03
Last Update Date
2014-06-03
Business Address
Mr. GERARDO IVAN ESPINO COTA/L
3636 NORTH RIDGE
WICHITA, KS 67205-9402
Phone number: 316-462-3636
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Mailing Address
Mr. GERARDO IVAN ESPINO COTA/L
3636 N RIDGE RD
WICHITA, KS 67205-1213
Phone number: 316-462-3636
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