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1720860935
KAYLENE BAY MATLACK
EMPORIA, KS
NPI
1720860935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2023-10-23
Last Update Date
2024-07-25
Business Address
KAYLENE BAY MATLACK
1 KELLOGG CIR
EMPORIA, KS 66801-5087
Phone number: 620-931-8263
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Mailing Address
KAYLENE BAY MATLACK
4401 S WORTHINGTON RD
BURRTON, KS 67020-8877
Phone number: 620-931-8263
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