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1417439977
KELLI RENAE PETTIJOHN
MANHATTAN, KS
NPI
1417439977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-03179)
Enumeration Date
2018-08-31
Last Update Date
2018-08-31
Business Address
KELLI RENAE PETTIJOHN
1133 COLLEGE AVE
MANHATTAN, KS 66502-2770
Phone number: 785-539-9669
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Mailing Address
KELLI RENAE PETTIJOHN
31015 K18 HWY
WAMEGO, KS 66547-8024
Phone number: 785-577-4881
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