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1134656291
LANA ELAINE FANOUS
GREELEY, CO
NPI
1134656291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-05-18
Last Update Date
2017-05-18
Business Address
LANA ELAINE FANOUS CF-SLP
7251 W 20TH ST
GREELEY, CO 80634-4625
Phone number: 970-702-2998
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Mailing Address
LANA ELAINE FANOUS CF-SLP
25812 W 69TH TER
SHAWNEE, KS 66226-3349
Phone number: 913-687-8344
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