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Individual

NICHOLAS LEIGH ROARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 COLLEGE ST, WINFIELD, KS 67156-2499
(800) 846-1543
Mailing address
322 SOWARD ST, WINFIELD, KS 67156-2556
(785) 260-3517

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
K03-30-3379
KS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
K03-30-3379
KS

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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