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1871279745
LUCAS ALLEN BOSQUEZ
GARDEN, KS
NPI
1871279745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-03307)
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
LUCAS ALLEN BOSQUEZ PTA
401 E SPRUCE ST
GARDEN, KS 67846
Phone number: 620-272-2222
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Mailing Address
LUCAS ALLEN BOSQUEZ PTA
2306 GRAND VIEW DR EAST
GARDEN, KS 67846-6784
Phone number: 785-531-9642
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