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Chiropractic Providers Chiropractor Neurology

Provider NPI: 1073688727

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
Tel: 561-627-3810  Fax: 561-624-3871

Business Mailing Address:
Tel: 561-627-3810  Fax: 561-624-3871

NPI Information:
NPI: 1073688727
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y111NN0400XChiropractic Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 111NN0400X





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