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ANDRE GAULARD D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1669524138

Individual Registrant:
 ANDRE  GAULARD D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
1304 W HIGH ST  BRYAN, OH 43506-1544 US
Tel: 419-636-5279  Fax: 419-636-5805

Contact information for business:
1304 W HIGH ST  BRYAN, OH 43506-1544 US
Tel: 419-636-5279  Fax: 419-636-3580

Registration Information:
NPI: 1669524138
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
OH839

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0444488OH05
FEIN341448756OH01




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