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Individual

BYRON W LECLERC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
356 SANTA FE ST, LEAVENWORTH, KS 66048-4537
(913) 682-4848
(913) 682-1610
Mailing address
356 SANTA FE ST, LEAVENWORTH, KS 66048-4537
(913) 682-4848
(913) 682-1610

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4391
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24066014
BLUE CROSS BLUE SHEILD KC
MO
Enumeration date
09/27/2006
Last updated
11/24/2008
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