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1164973103
ARISTA GROOM
WINFIELD, KS
NPI
1164973103
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Former Name
ARISTA WAITE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS 24-00777)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
MRS. ARISTA GROOM LAT, ATC, EMT
300 VIKING BLVD
WINFIELD, KS 67156-2508
Phone number: 620-221-5160
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Mailing Address
MRS. ARISTA GROOM LAT, ATC, EMT
1407 WHEAT RD
WINFIELD, KS 67156-4705
Phone number: 620-221-5100
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