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1265908792
JODIE N LONG
WICHITA, KS
NPI
1265908792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 1403196)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
JODIE N LONG PTA
3730 N RIDGE RD STE 500
WICHITA, KS 67205-1233
Phone number: 316-440-4901
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Mailing Address
JODIE N LONG PTA
200 W DOUGLAS AVE STE 1040
WICHITA, KS 67202-3017
Phone number: 316-263-0003
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