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1609146596
TROY DANIEL BLASI
WICHITA, KS
NPI
1609146596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-01341)
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
MR. TROY DANIEL BLASI CPTA
622 N EDGEMOOR ST
WICHITA, KS 67208-3602
Phone number: 316-686-5100
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Mailing Address
MR. TROY DANIEL BLASI CPTA
622 N EDGEMOOR ST
WICHITA, KS 67208-3602
Phone number: 316-686-5100
Copy
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