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1659555647
DAVID WILLIAM LIUDAHL
GARDNER, KS
NPI
1659555647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: KS 11-02829)
Enumeration Date
2007-12-26
Last Update Date
2009-05-21
Business Address
Mr. DAVID WILLIAM LIUDAHL PT
611 E MAIN ST
GARDNER, KS 66030-1251
Phone number: 913-884-6755
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Mailing Address
Mr. DAVID WILLIAM LIUDAHL PT
611 E MAIN ST
GARDNER, KS 66030-1251
Phone number: 913-884-6755
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