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1992865646
TODD WAYNE GADDIS
WICHITA, KS
NPI
1992865646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-00044)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Mr. TODD WAYNE GADDIS LAT, ATC
7550 W. VILLAGE CIRCLE SUITE 1
WICHITA, KS 67205
Phone number: 316-838-2020
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Mailing Address
Mr. TODD WAYNE GADDIS LAT, ATC
510 EASTRIDGE ST N
VALLEY CENTER, KS 67147-4710
Phone number: 316-755-2165
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