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1164654125
JEFF TILDES
LAWRENCE, KS
NPI
1164654125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-02052)
Enumeration Date
2009-08-10
Last Update Date
2009-08-10
Business Address
Mr. JEFF TILDES CPTA
3115 W 6TH ST STE B
LAWRENCE, KS 66049-3101
Phone number: 785-856-3220
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Mailing Address
Mr. JEFF TILDES CPTA
2725 HARPER ST
LAWRENCE, KS 66046-5085
Phone number:
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