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Organization

PRAIRIE SAGE FUNCTIONAL MEDICINE AND KINESIOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE STANTON JR. D.C. (OWNER/DOCTOR)
(620) 276-8743
Entity
Organization

Contact information

Practice address
519 W MARY ST STE 115, GARDEN CITY, KS 67846-2782
(620) 276-8743
Mailing address
519 W MARY ST STE 115, GARDEN CITY, KS 67846-2782

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0105657
KS

Other

Enumeration date
09/30/2016
Last updated
09/30/2016
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