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1801200449
BRYCE WALTER
WICHITA, KS
NPI
1801200449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-00695)
Enumeration Date
2014-06-11
Last Update Date
2014-06-11
Business Address
-- BRYCE WALTER LAT, AT-c
12112 W KELLOGG ST
WICHITA, KS 67235-1100
Phone number: 316-440-1100
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Mailing Address
-- BRYCE WALTER LAT, AT-c
12112 W KELLOGG ST
WICHITA, KS 67235-1100
Phone number: 316-440-1100
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