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1750911392
MICHAEL BRIAN HARVEY
WICHITA, KS
NPI
1750911392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-00309)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
MICHAEL BRIAN HARVEY ATC, LAT
12112 W KELLOGG ST
WICHITA, KS 67235-1100
Phone number: 316-630-9300
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Mailing Address
MICHAEL BRIAN HARVEY ATC, LAT
777 N SILVER SPRINGS BLVD APT 2007
WICHITA, KS 67212-6023
Phone number: 620-339-5244
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