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1912518655
KOTA WAKASA
HAYS, KS
NPI
1912518655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-08-15
Last Update Date
2020-08-15
Business Address
KOTA WAKASA ATC
600 PARK ST
HAYS, KS 67601-4099
Phone number: 620-639-2733
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Mailing Address
KOTA WAKASA ATC
600 PARK ST
HAYS, KS 67601-4099
Phone number: 620-639-2733
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