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1659461697
MARTHA JEAN BRYAN
WICHITA, KS
NPI
1659461697
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Former Name
MARTHA JEAN GINNS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: KS 040)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
MARTHA JEAN BRYAN LCP
7701 E KELLOGG DR STE. 300
WICHITA, KS 67207-1706
Phone number: 316-660-9600
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Mailing Address
MARTHA JEAN BRYAN LCP
635 N MAIN ST
WICHITA, KS 67203-3602
Phone number: 316-660-7600
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