TEGAN JAE FANDERS

EMPORIA, KS
NPI1073846366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: KS  1298)
Enumeration Date2009-09-17
Last Update Date2009-09-17
Business Address
-- TEGAN JAE FANDERS T-LMLP
1000 LINCOLN ST
EMPORIA, KS 66801-2449
Phone number: 620-343-2211
Mailing Address
-- TEGAN JAE FANDERS T-LMLP
1000 LINCOLN ST
EMPORIA, KS 66801-2449
Phone number: 620-343-2211
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