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1699276626
MARIELA YESENIA RICO JIMENEZ
FORT SCOTT, KS
NPI
1699276626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-01137)
Enumeration Date
2018-02-25
Last Update Date
2018-03-17
Business Address
Ms. MARIELA YESENIA RICO JIMENEZ ATC, LAT
1005 S MAIN ST
FORT SCOTT, KS 66701-2649
Phone number: 620-223-0600
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Mailing Address
Ms. MARIELA YESENIA RICO JIMENEZ ATC, LAT
849 STATE ST APT 9
FORT SCOTT, KS 66701-2763
Phone number: 580-754-0241
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