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Individual

DR. JON MCCORMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1104 E 23RD ST, LAWRENCE, KS 66046-5004
(785) 749-0130
(785) 749-0132
Mailing address
12301 W 65TH TER, SHAWNEE, KS 66216-2785
(913) 268-9910

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0105147
KS

Other

Enumeration date
01/31/2008
Last updated
01/31/2008
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