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>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1386673705

Individual Registrant:
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1004 LINCOLN ST  WAMEGO, KS 66547-1502 US
Tel: 785-456-8657  Fax: 785-456-8882

Contact information for business:
1004 LINCOLN ST P.O. BOX 308 WAMEGO, KS 66547-1502 US
Tel: 785-456-8657  Fax: 785-456-8882

Registration Information:
NPI: 1386673705
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers

Legacy codes, insurance codes and state license numbers:



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