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1972983179
ERICA LE ANDERSON
WICHITA, KS
NPI
1972983179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 2400866)
Enumeration Date
2015-06-02
Last Update Date
2015-06-02
Business Address
-- ERICA LE ANDERSON ATC
2100 W UNIVERSITY AVE
WICHITA, KS 67213-3379
Phone number: 419-204-9284
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Mailing Address
-- ERICA LE ANDERSON ATC
206 S ATHENIAN ST
WICHITA, KS 67213-2728
Phone number: 419-204-9284
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