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1134953235
MICHAEL CORTEZ ROSS
WICHITA, KS
NPI
1134953235
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
MICHAEL CORTEZ ROSS
1109 S ROCK RD
WICHITA, KS 67207-3317
Phone number: 917-801-7015
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Mailing Address
MICHAEL CORTEZ ROSS
1109 S ROCK RD
WICHITA, KS 67207-3317
Phone number: 917-801-7015
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