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Individual

DR. BRET DEREK LICKTEIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
906 WALNUT ST, VALLEY FALLS, KS 66088-1240
(785) 945-3261
(785) 945-3262
Mailing address
906 WALNUT ST, PO BOX 186, VALLEY FALLS, KS 66088-1240
(785) 945-3261
(785) 945-3262

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05378
KS

Other

Enumeration date
03/24/2011
Last updated
03/24/2011
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