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DR. RANDALL DUANE HENSLEY DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1174622575

Individual Registrant:
DR. RANDALL DUANE HENSLEY DC
Gender: M
Sole Proprietor

Location and contact information for practice:
16985 PLACER HILLS RD SUITE C MEADOW VISTA, CA 95722-9435 US
Tel: 530-878-1311  Fax: 530-878-2161

Contact information for business:
PO BOX 710  MEADOW VISTA, CA 95722 US
Tel: 530-878-1311  Fax: 530-878-2161

Registration Information:
NPI: 1174622575
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CADC23276

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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