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1154860195
RON WOLLENHAUPT
LEAVENWORTH, KS
NPI
1154860195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS 24-00176)
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
RON WOLLENHAUPT ATC, LAT
2012 10TH AVE
LEAVENWORTH, KS 66048-4207
Phone number: 913-684-1550
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Mailing Address
RON WOLLENHAUPT ATC, LAT
9212 LICHTENAUER DR APT 539
LENEXA, KS 66219-2101
Phone number: 913-406-2032
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