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1043739204
NICOLE R STAHL
ANDOVER, KS
NPI
1043739204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 1402357)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
NICOLE R STAHL PTA
550 N ANDOVER RD
ANDOVER, KS 67002-9712
Phone number: 316-202-0195
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Mailing Address
NICOLE R STAHL PTA
200 W DOUGLAS AVE STE 1040
WICHITA, KS 67202-3017
Phone number: 1316-263-0003
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