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DR. RICHARD T MINER D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1174658298

Individual Registrant:
DR. RICHARD T MINER D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
38690 PACIFIC DR. SUITE 3 GUALALA, CA 95445 US
Tel: 707-884-1714  Fax: --

Contact information for business:
PO BOX 409 38690 PACIFIC DR. GUALALA, CA 95445-0409 US
Tel: 707-884-1714  Fax: --

Registration Information:
NPI: 1174658298
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CADC16750

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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