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1922390871
LEVI BURTON SOUTHERN
BEL AIRE, KS
NPI
1922390871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2011-05-11
Last Update Date
2011-05-11
Business Address
-- LEVI BURTON SOUTHERN
6528 E ODESSA ST
BEL AIRE, KS 67226-1413
Phone number: 316-744-3892
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Mailing Address
-- LEVI BURTON SOUTHERN
6528 E ODESSA ST
BEL AIRE, KS 67226-1413
Phone number: 316-744-3892
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