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1487927547
DAVID B MACK
LENEXA, KS
NPI
1487927547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: KS 1415)
Enumeration Date
2012-02-20
Last Update Date
2012-02-20
Business Address
DAVID B MACK SLP
15055 W 87TH ST PARKWAY
LENEXA, KS 66215
Phone number: 913-307-0665
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Mailing Address
DAVID B MACK SLP
26360 W 111 TERR
OLATHE, KS 66061
Phone number:
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