TODD ALLEN FAGAN

WICHITA, KS
NPI1053193565
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS  24-00507)
Enumeration Date2023-10-18
Last Update Date2023-10-18
Business Address
TODD ALLEN FAGAN
1845 FAIRMOUNT ST
WICHITA, KS 67260-0018
Phone number: 316-978-5575
Mailing Address
TODD ALLEN FAGAN
1845 FAIRMOUNT ST
WICHITA, KS 67260-0018
Phone number: 316-978-5575
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