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1003012592
TIMOTHY JASON MCCORD
LAWRENCE, KS
NPI
1003012592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: KS 05-33950)
Enumeration Date
2007-06-22
Last Update Date
2022-06-14
Business Address
TIMOTHY JASON MCCORD D.O.
200 MAINE ST STE A
LAWRENCE, KS 66044-1396
Phone number: 785-843-9192
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Mailing Address
TIMOTHY JASON MCCORD D.O.
200 MAINE ST STE A
LAWRENCE, KS 66044-1396
Phone number: 785-843-9192
Copy
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