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Name: Fern Yvonne Tallmadge Certificate Status: Active
Address: 12583 W. 105th St.
Overland Park, KS 66215-0000
Permit Status:
Firm/Employer: Discipline and/or Board Action: NO
Certificate Issue Date: 04/29/1986
Certificate Number: 5106
Permit Number:
Permit Issue/Renew Date: / /
Permit Expiration Date: / /