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Individual

DR. MARTIN ST JOHN DECOURCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
10425 MARTY ST, OVERLAND PARK, KS 66212-2569
(913) 383-3031
(913) 383-3041
Mailing address
10425 MARTY ST, OVERLAND PARK, KS 66212-2569
(913) 383-3031
(913) 383-3041

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0103967
KS

Other

Enumeration date
08/24/2006
Last updated
07/08/2007
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