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1316305006
ZACHARY S CANNIZZO
WICHITA, KS
NPI
1316305006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-00913)
Enumeration Date
2016-02-09
Last Update Date
2016-02-09
Business Address
-- ZACHARY S CANNIZZO ATC, LAT
1151 N ROCK RD
WICHITA, KS 67206-1262
Phone number: 316-634-3400
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Mailing Address
-- ZACHARY S CANNIZZO ATC, LAT
3586 N FOREST RIDGE ST
WICHITA, KS 67205-4502
Phone number: 785-307-0718
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