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1043365653
ELLEN T LARSON
WICHITA, KS
NPI
1043365653
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Former Name
ELLEN T THOMECZEK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11--00680)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
Ms. ELLEN T LARSON RPT
340 S BROADWAY ST
WICHITA, KS 67202-4304
Phone number: 316-267-5437
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Mailing Address
Ms. ELLEN T LARSON RPT
340 S BROADWAY ST
WICHITA, KS 67202-4304
Phone number: 316-267-5437
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