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1194861922
JERRY LEE ANDERSON
WICHITA, KS
NPI
1194861922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-03106)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
Mr. JERRY LEE ANDERSON PT
1151 N ROCK RD
WICHITA, KS 67206-1262
Phone number: 316-634-3651
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Mailing Address
Mr. JERRY LEE ANDERSON PT
819 SANDWEDGE CT
ANDOVER, KS 67002-8833
Phone number: 316-218-0919
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