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1275752669
MICHELLE DEWILDE
TOPEKA, KS
NPI
1275752669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 1401502)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- MICHELLE DEWILDE PTA
3220 SW ALBRIGHT DR
TOPEKA, KS 66614-4707
Phone number: 785-478-9440
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Mailing Address
-- MICHELLE DEWILDE PTA
5652 31ST ST
GRANTVILLE, KS 66429-9324
Phone number: 785-286-4613
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