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Individual

LUKE THOMAS TATE

Active
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Individual

LUKE THOMAS TATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
15041
TX
111N00000X
Chiropractor
Primary
2024031395
MO

Other

Enumeration date
08/26/2022
Last updated
08/20/2024
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