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1073134045
SHAY THOMAS IOERGER
LEAVENWORTH, KS
NPI
1073134045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2471N0900X Radiologic Technologist, Nuclear Medicine Technology
(Licence: KS 22-04129)
Enumeration Date
2020-04-30
Last Update Date
2020-04-30
Business Address
SHAY THOMAS IOERGER
4101 S 4TH ST
LEAVENWORTH, KS 66048-5014
Phone number: 913-682-2000
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Mailing Address
SHAY THOMAS IOERGER
7524 ANDERSON ST
SHAWNEE, KS 66227-2631
Phone number: 785-458-9239
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