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1710991609
JAYMIE SUANNE RUDER
GARDEN CITY, KS
NPI
1710991609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-00300)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Mrs. JAYMIE SUANNE RUDER LAT, ATC
101 E FULTON ST
GARDEN CITY, KS 67846-5455
Phone number: 620-275-8400
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Mailing Address
Mrs. JAYMIE SUANNE RUDER LAT, ATC
2207 E FAIR ST
GARDEN CITY, KS 67846-3735
Phone number: 620-272-9202
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