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1255840567
GRACIA MATLACK
KANSAS CITY, KS
NPI
1255840567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-04816)
Enumeration Date
2017-09-29
Last Update Date
2017-09-29
Business Address
Dr. GRACIA MATLACK PT, DPT
2010 N 59TH ST
KANSAS CITY, KS 66104-2800
Phone number: 913-627-2822
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Mailing Address
Dr. GRACIA MATLACK PT, DPT
6923 WESTGATE ST
SHAWNEE, KS 66216-2668
Phone number:
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