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1134425556
DALE LAKE
TOPEKA, KS
NPI
1134425556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-02-02
Last Update Date
2011-02-02
Business Address
-- DALE LAKE
2706 SW TUTBURY TOWN RD
TOPEKA, KS 66614
Phone number: 785-215-0105
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Mailing Address
-- DALE LAKE
2706 SW TUTBURY TOWN RD
TOPEKA, KS 66614-4332
Phone number:
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