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1912391665
KIDSTLC MEDICAL SERVICS, LLC
OLATHE, KS
NPI
1912391665
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Entity Type
Organization
Authorized Contact
GORDON DOCKING
CEO
913-324-3636
Organization Subpart ?
Yes
Primary Taxonomy
103TP0016X Psychologist, Prescribing (Medical)
Enumeration Date
2015-03-20
Last Update Date
2015-03-20
Business Address
KIDSTLC MEDICAL SERVICS, LLC
480 S ROGERS RD
OLATHE, KS 66062-1706
Phone number: 913-324-3636
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Mailing Address
KIDSTLC MEDICAL SERVICS, LLC
480 S ROGERS RD
OLATHE, KS 66062-1706
Phone number: 913-324-3636
Copy
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