JASON FANSELAU

KANSAS CITY, MO
NPI1942654280
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date2016-04-22
Last Update Date2016-04-22
Business Address
-- JASON FANSELAU CNIM
128 W 13TH ST APT 1011
KANSAS CITY, MO 64105-1726
Phone number: 972-489-6170
Mailing Address
-- JASON FANSELAU CNIM
128 W 13TH ST APT 1011
KANSAS CITY, MO 64105-1726
Phone number: 972-489-6170
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