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1215924600
FRED A CHURCH
OLATHE, KS
NPI
1215924600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KS 0528541)
Enumeration Date
2005-09-30
Last Update Date
2022-01-31
Business Address
Dr. FRED A CHURCH D.O.
11164 S NOBLE DR
OLATHE, KS 66061-7572
Phone number: 913-829-2440
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Mailing Address
Dr. FRED A CHURCH D.O.
PO BOX 741331
ATLANTA, GA 30374-1331
Phone number: 913-469-0503
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