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1497850952
PHILLIP JOHN WASSENBERG
HOLTON, KS
NPI
1497850952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-02637)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
-- PHILLIP JOHN WASSENBERG PT
1110 COLUMBINE DR
HOLTON, KS 66436-8824
Phone number: 785-364-2116
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Mailing Address
-- PHILLIP JOHN WASSENBERG PT
190 145TH ST
WETMORE, KS 66550-9768
Phone number: 785-364-2116
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