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MARK EDWARD ALDEN D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1700858503

Individual Registrant:
 MARK EDWARD ALDEN D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
747 TARA FARMS DR  MIDDLEBURG, FL 32068-6846 US
Tel: 904-254-2834  Fax: --

Contact information for business:
747 TARA FARMS DR  MIDDLEBURG, FL 32068-6846 US
Tel: 904-254-2834  Fax: --

Registration Information:
NPI: 1700858503
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N111N00000XChiropractic Providers
Chiropractor
CADC 19689
N111N00000XChiropractic Providers
Chiropractor
FLCH 10356
Y111N00000XChiropractic Providers
Chiropractor
GACHIR008824
N111N00000XChiropractic Providers
Chiropractor
KY5405

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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