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GREGERY K LESTER DC
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1770615213
Individual Registrant:
GREGERY K LESTER DC
Gender: M
Not Sole Proprietor
Location and contact information for practice:
16342 THIRD ST #2 GUERNEVILLE, CA 95446-1115 US
Tel: 707-869-8123 Fax: --
Contact information for business:
PO BOX 1115 GUERNEVILLE, CA 95446-1115 US
Tel: -- Fax: --
Registration Information:
NPI: 1770615213
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 111N00000X | Chiropractic Providers Chiropractor
| CA | DC0179380 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 2902812 | CA | 05 |
HEALTH CARE JOBS CA - Page 1