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Individual

CHARLES TYLER SLEEPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
24505 PRAIRIE STAR PKWY, LENEXA, KS 66227-7267
(913) 254-4200
Mailing address
6352 ALBERVAN ST, SHAWNEE, KS 66216-2288
(785) 221-0596

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00939
KS

Other

Enumeration date
08/14/2014
Last updated
08/14/2014
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