TANNER JORDAN STAAB

WICHITA, KS
NPI1477177863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: KS  3572)
Enumeration Date2020-06-02
Last Update Date2020-06-18
Business Address
TANNER JORDAN STAAB
3636 N RIDGE RD
WICHITA, KS 67205-1213
Phone number: 316-462-3636
Mailing Address
TANNER JORDAN STAAB
4060 N REED AVE APT 912
MAIZE, KS 67101-3813
Phone number: 785-259-1516
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