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1316018518
TANJA N ROTH
TOPEKA, KS
NPI
1316018518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: KS 74856)
Enumeration Date
2006-11-11
Last Update Date
2016-10-17
Business Address
TANJA N ROTH
330 SW OAKLEY AVE
TOPEKA, KS 66606-1995
Phone number: 785-233-1730
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Mailing Address
TANJA N ROTH
5401 SW 7TH ST
TOPEKA, KS 66606-2330
Phone number: 785-273-2252
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