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1811094154
KENNETH L. CHASTEK
CASPER, WY
NPI
1811094154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AK 642)
Enumeration Date
2006-09-20
Last Update Date
2007-07-18
Business Address
-- KENNETH L. CHASTEK P.A-C
EMPLOYEE HEALTH SOLUTIONS 245 SOUTH FENWAY
CASPER, WY 82601
Phone number: 307-577-4300
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Mailing Address
-- KENNETH L. CHASTEK P.A-C
11314 LAKE KATHERINE CIR
CLERMONT, FL 34711-5003
Phone number: 352-432-2578
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