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1245071828
DEREK JEFFRIES
LEAVENWORTH, KS
NPI
1245071828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: KS 03316)
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
DEREK JEFFRIES
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
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Mailing Address
DEREK JEFFRIES
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
Copy
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