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MARK DAVID CAMPBELL DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1699862979

Individual Registrant:
 MARK DAVID CAMPBELL DC
Gender: M
Sole Proprietor

Location and contact information for practice:
594 BELLEVUE RD  ATWATER, CA 95301-2930 US
Tel: 209-357-2785  Fax: 209-357-2786

Contact information for business:
594 BELLEVUE RD  ATWATER, CA 95301-2852 US
Tel: 209-357-2785  Fax: 209-357-2786

Registration Information:
NPI: 1699862979
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CA22303

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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