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Individual

JOHN ALLEN DERINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, ATC, LAT

Contact information

Practice address
12267 S STRANG LINE RD, OLATHE, KS 66062-5264
(801) 413-4522
Mailing address
12267 S STRANG LINE RD, OLATHE, KS 66062-5264
(801) 413-4522

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
24-00960.
KS

Other

Enumeration date
08/15/2014
Last updated
08/15/2014
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