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1336204239
MYRA K NIEDEREE
WICHITA, KS
NPI
1336204239
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Former Name
MYRA K LESSOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KS 1633)
Enumeration Date
2006-12-22
Last Update Date
2007-07-08
Business Address
Ms. MYRA K NIEDEREE SLP
340 S BROADWAY ST
WICHITA, KS 67202-4304
Phone number: 316-267-5437
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Mailing Address
Ms. MYRA K NIEDEREE SLP
340 S BROADWAY ST
WICHITA, KS 67202-4304
Phone number: 316-267-5437
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