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1194801019
SHANNON A CARRO
WICHITA, KS
NPI
1194801019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225000000X Orthotic Fitter
(Licence: KS T00720)
Enumeration Date
2006-10-31
Last Update Date
2015-01-15
Business Address
Ms. SHANNON A CARRO OTR
340 S BROADWAY ST
WICHITA, KS 67202-4304
Phone number: 316-267-5437
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Mailing Address
Ms. SHANNON A CARRO OTR
1655 S GEORGETOWN ST
WICHITA, KS 67218-4140
Phone number: 316-685-0400
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