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1831559657
KELSEY MIKALA LEAK
WICHITA, KS
NPI
1831559657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-02962)
Enumeration Date
2016-03-07
Last Update Date
2016-06-03
Business Address
-- KELSEY MIKALA LEAK PTA
1603 N CHAPEL HILL ST STE 400
WICHITA, KS 67206-5510
Phone number: 316-440-6551
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Mailing Address
-- KELSEY MIKALA LEAK PTA
550 W CENTRAL AVE APT 1707
WICHITA, KS 67203-4237
Phone number: 316-644-7816
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