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Individual

DINA LYNN RICKETTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 CUSTER ST, FORT DODGE, KS 67843
(620) 227-2121
Mailing address
PO BOX 84, MULLINVILLE, KS 67109-0084
(620) 213-1928

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00911
KS

Other

Enumeration date
06/04/2021
Last updated
06/04/2021
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