ALAN WAYNE THAGARD

FORT LEAVENWORTH, KS
NPI1609857390
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: VA  0002015218)
Enumeration Date2005-11-09
Last Update Date2007-07-08
Business Address
MR. ALAN WAYNE THAGARD LPN
550 POPE AVE
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-6170
Mailing Address
MR. ALAN WAYNE THAGARD LPN
403 N 14TH ST
SABETHA, KS 66534-2113
Phone number: 785-284-3132
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