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Individual
DR. KEVIN WILLIAM PAUSTIAN
Active
Individual
DR. KEVIN WILLIAM PAUSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05303
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231384
MIDLANDS CHOICE
—
01
—
25943
BLUE CROSS/BLUE SHIELD
—
Enumeration date
09/21/2006
Last updated
07/08/2007
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