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Individual

REBECCA A WASINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
206 CIRCLE DR, HAYS, KS 67601-1639
(785) 625-2893
Mailing address
206 CIRCLE DR, HAYS, KS 67601-1639
(785) 625-2893

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200377770A
KS
Enumeration date
07/04/2006
Last updated
01/07/2014
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