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1972983849
JOHN GRISHAM
OVERLAND PARK, KS
NPI
1972983849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KS 04-39459)
Enumeration Date
2015-06-04
Last Update Date
2018-11-08
Business Address
JOHN GRISHAM M.D.
11725 W 112TH ST
OVERLAND PARK, KS 66210
Phone number: 913-469-5579
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Mailing Address
JOHN GRISHAM M.D.
PO BOX 741331
ATLANTA, GA 30374-1331
Phone number: 913-469-0503
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