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1336976265
JIMMY TA
DERBY, KS
NPI
1336976265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
JIMMY TA DPT
1824 E JAMES ST
DERBY, KS 67037-8634
Phone number: 316-630-9300
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Mailing Address
JIMMY TA DPT
1923 N WEBB RD
WICHITA, KS 67206-3405
Phone number: 316-630-9300
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