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1932501046
GARY STEVANUS
BALDWIN CITY, KS
NPI
1932501046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS 24-00166)
Enumeration Date
2014-09-19
Last Update Date
2014-09-19
Business Address
GARY STEVANUS ATC
415 EISENHOWER
BALDWIN CITY, KS 66006
Phone number: 785-594-2725
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Mailing Address
GARY STEVANUS ATC
PO BOX 67
BALDWIN CITY, KS 66006-0067
Phone number: 785-594-2725
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