Individual
MS. MARY COLLEEN LONERGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 E 154TH TER, OLATHE, KS 66062-2869
(913) 314-8551
Mailing address
1308 E 154TH TER, OLATHE, KS 66062-2869
(913) 314-8551
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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