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1538605092
ERIC BUSTILLOS
WICHITA, KS
NPI
1538605092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-03027)
Enumeration Date
2017-01-09
Last Update Date
2017-01-09
Business Address
-- ERIC BUSTILLOS PTA
2100 N AMIDON AVE # S208
WICHITA, KS 67203-2126
Phone number: 316-832-1116
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Mailing Address
-- ERIC BUSTILLOS PTA
2100 N AMIDON AVE # S208
WICHITA, KS 67203-2126
Phone number: 316-832-1116
Copy
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