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1942615976
MICHAEL RAY LONGHOFER
TOPEKA, KS
NPI
1942615976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS 24-00015)
Enumeration Date
2014-06-28
Last Update Date
2016-12-04
Business Address
MR. MICHAEL RAY LONGHOFER ATC
2660 SW 3RD ST
TOPEKA, KS 66606-2442
Phone number: 785-270-8880
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Mailing Address
MR. MICHAEL RAY LONGHOFER ATC
1500 SW 10TH AVE
TOPEKA, KS 66604-1301
Phone number: 785-354-6000
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