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Matthew Nicholas Egan Valid NPI

Individual provider · Chiropractor · San Rafael, CA

NPI
1467739060
Type
Individual (Type 1)
Primary specialty
Chiropractor
Specialty group
Chiropractic Providers
Taxonomy code
111N00000X
License number
31550 (CA)
Sex
Male
Sole proprietor
Yes
Enumerated
2011-11-10
Last updated
2011-11-10
Practice location
45 Mitchell Blvd Ste 9
San Rafael, CA 94903-2011
(415) 845-7784

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