ANTONIO DE JESUS CARRASCO

GREAT BEND, KS
NPI1265104632
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-03867)
Enumeration Date2021-10-04
Last Update Date2021-10-04
Business Address
ANTONIO DE JESUS CARRASCO
1818 BAKER AVE
GREAT BEND, KS 67530-2726
Phone number: 620-617-3259
Mailing Address
ANTONIO DE JESUS CARRASCO
1818 BAKER AVE
GREAT BEND, KS 67530-2726
Phone number: 620-617-3259
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