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Individual

DR. JACOB ROSS GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
102 E ELM ST, LINCOLN, KS 67455-2004
(785) 524-4371
(785) 524-4375
Mailing address
102 E ELM ST, LINCOLN, KS 67455-2004
(785) 524-4371
(785) 524-4375

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
T-02850
KS

Other

Enumeration date
01/14/2011
Last updated
04/12/2012
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