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Individual

MRS. TANYA MARIE JAHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.CCC-SLP

Contact information

Practice address
305 10TH AVE NW, MANDAN, ND 58554-2549
(701) 663-5796
Mailing address
4020 OVERLAND RD, BISMARCK, ND 58503-8841
(701) 258-7438

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
817
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54035
ND
Enumeration date
01/22/2007
Last updated
07/08/2007
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