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1144863036
ELIZABETH ANNE KETCHUM
NEWTON, KS
NPI
1144863036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS 24-01374)
Enumeration Date
2019-10-23
Last Update Date
2019-10-23
Business Address
ELIZABETH ANNE KETCHUM AT
1121 ALLISON ST
NEWTON, KS 67114-4825
Phone number: 316-217-3752
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Mailing Address
ELIZABETH ANNE KETCHUM AT
100 E CLAFLIN AVE
SALINA, KS 67401-6146
Phone number: 316-217-3752
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