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1780062612
NICHOLAS DEAN WEDEL
KANSAS CITY, KS
NPI
1780062612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-05141)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2015-05-12
Last Update Date
2018-06-25
Business Address
NICHOLAS DEAN WEDEL DPT
1801 N 98TH ST
KANSAS CITY, KS 66111
Phone number: 913-264-3000
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Mailing Address
NICHOLAS DEAN WEDEL DPT
2401 GILLHAM RD PROVIDER ENROLLMENT
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200
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