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1164572483
JEFFREY DEAN SMITH
WICHITA, KS
NPI
1164572483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-00327)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
-- JEFFREY DEAN SMITH ATC
7550 W. VILLAGE CIRCLE
WICHITA, KS 67205
Phone number: 316-838-2020
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Mailing Address
-- JEFFREY DEAN SMITH ATC
9905 SW 15TH ST
TOWANDA, KS 67144-9007
Phone number: 316-838-2020
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