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1124436787
LISA MAST
WICHITA, KS
NPI
1124436787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-01559)
Enumeration Date
2014-07-28
Last Update Date
2014-07-28
Business Address
-- LISA MAST
8080 E PAWNEE ST
WICHITA, KS 67207-5475
Phone number: 316-682-0004
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Mailing Address
-- LISA MAST
8080 E PAWNEE ST
WICHITA, KS 67207-5475
Phone number:
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