JERLYN DEE PEAK

EL DORADO, KS
NPI1851337224
Former NameJERLYN DEE PADEN
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS  24-00056)
Enumeration Date2006-06-22
Last Update Date2008-11-18
Business Address
-- JERLYN DEE PEAK L.A.T, A.T.C.
720 W CENTRAL AVE
EL DORADO, KS 67042-2112
Phone number: 316-322-4580
Mailing Address
-- JERLYN DEE PEAK L.A.T, A.T.C.
2010 S COOPER CT
WICHITA, KS 67207-5819
Phone number: 316-652-7874
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