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Individual
DR. JOE ANTHONY CANTU
Active
Individual
DR. JOE ANTHONY CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555910
VA
111NR0200X
Radiology Chiropractor
0104555910
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289168
ANTHEM
VA
Enumeration date
09/20/2006
Last updated
11/08/2011
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