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1619376217
STEVEN ICE
TOPEKA, KS
NPI
1619376217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS 24-00010)
Enumeration Date
2014-08-19
Last Update Date
2014-08-19
Business Address
STEVEN ICE LAT ATC
1700 SW COLLEGE AVE
TOPEKA, KS 66621-0001
Phone number: 785-670-1753
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Mailing Address
STEVEN ICE LAT ATC
3134 SE STARLITE DR
TOPEKA, KS 66605-2168
Phone number: 785-608-4505
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