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1871030866
ALYSSA SOUTHARDS
WICHITA, KS
NPI
1871030866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-01-27
Last Update Date
2017-01-27
Business Address
-- ALYSSA SOUTHARDS
8700 E 29TH ST N
WICHITA, KS 67226-2169
Phone number: 316-634-8710
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Mailing Address
-- ALYSSA SOUTHARDS
8700 E 29TH ST N
WICHITA, KS 67226-2169
Phone number: 316-634-8710
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