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1972811594
ELYSE IVY HAWTHORNE
TOPEKA, KS
NPI
1972811594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-01884)
Enumeration Date
2010-09-16
Last Update Date
2010-09-16
Business Address
Mrs. ELYSE IVY HAWTHORNE PTA
3512 SW FAIRLAWN ROAD SUITE 200
TOPEKA, KS 66614-3981
Phone number: 785-271-7246
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Mailing Address
Mrs. ELYSE IVY HAWTHORNE PTA
3512 SW FAIRLAWN ROAD SUITE 200
TOPEKA, KS 66614-3981
Phone number: 785-271-7246
Copy
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