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Individual

ABBY ANN TANKING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 742-7113
(785) 742-3085
Mailing address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 742-7113
(785) 742-3085

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100097950A
KS
Enumeration date
03/24/2014
Last updated
03/24/2014
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