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Individual

DR. BLAKE ANTHONY WASINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1811 E MARY ST, STE A1, GARDEN CITY, KS 67846-3880
(214) 300-1177
Mailing address
1811 E MARY ST, STE A1, GARDEN CITY, KS 67846-3880
(214) 300-1177

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05352
KS

Other

Enumeration date
03/09/2011
Last updated
03/09/2011
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