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1265634448
MEGAN DIANE LAURIE
ATCHISON, KS
NPI
1265634448
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Former Name
MEGAN DIANE HAWK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-01497)
Enumeration Date
2007-06-01
Last Update Date
2014-11-13
Business Address
-- MEGAN DIANE LAURIE PTA
415 S 10TH ST
ATCHISON, KS 66002-2771
Phone number: 913-370-9501
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Mailing Address
-- MEGAN DIANE LAURIE PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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