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1821138827
JERALD DOUGLAS BOZEMAN
WICHITA, KS
NPI
1821138827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-032675)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
Mr. JERALD DOUGLAS BOZEMAN PT
750 N SOCORA
WICHITA, KS 67212
Phone number: 316-462-2273
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Mailing Address
Mr. JERALD DOUGLAS BOZEMAN PT
6405 W CLEAR MEADOW ST
WICHITA, KS 67205-2413
Phone number: 316-201-4631
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