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1073228359
LUIS ANGEL HERNANDEZ
WICHITA, KS
NPI
1073228359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-01653)
Enumeration Date
2023-01-20
Last Update Date
2023-01-22
Business Address
Mr. LUIS ANGEL HERNANDEZ LAT , ATC
3100 W MCCORMICK AVE
WICHITA, KS 67213
Phone number: 785-633-7507
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Mailing Address
Mr. LUIS ANGEL HERNANDEZ LAT , ATC
2614 N BATTIN ST
WICHITA, KS 67220
Phone number:
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