Individual
CHALLEY FULLAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 N EISENHOWER DR, JUNCTION CITY, KS 66441-3313
(785) 717-4130
Mailing address
123 N EISENHOWER DR, JUNCTION CITY, KS 66441-3313
(785) 717-4130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3235
KS
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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