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1720694896
BENJAMIN ADAM MORALES
WICHITA, KS
NPI
1720694896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-03766)
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
BENJAMIN ADAM MORALES PTA
834 N SOCORA ST STE 1
WICHITA, KS 67212-3279
Phone number: 316-440-3731
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Mailing Address
BENJAMIN ADAM MORALES PTA
200 W DOUGLAS AVE STE 1040
WICHITA, KS 67202-3017
Phone number: 316-263-0003
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