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1306615489
ROSS MICHAEL ROCHA
LEAVENWORTH, KS
NPI
1306615489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS 24-01611)
Enumeration Date
2023-12-29
Last Update Date
2023-12-29
Business Address
ROSS MICHAEL ROCHA LAT, ATC
4100 S 4TH ST
LEAVENWORTH, KS 66048-5082
Phone number: 913-758-6263
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Mailing Address
ROSS MICHAEL ROCHA LAT, ATC
4100 S 4TH ST
LEAVENWORTH, KS 66048-5082
Phone number:
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