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1114070778
THADDEUS M ALEXANDER
WICHITA, KS
NPI
1114070778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Mr. THADDEUS M ALEXANDER
12521 W KENNY CIR
WICHITA, KS 67235-1956
Phone number: 316-721-5495
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Mailing Address
Mr. THADDEUS M ALEXANDER
12521 W KENNY CIR
WICHITA, KS 67235-1956
Phone number: 316-721-5495
Copy
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