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Individual
DR. TRACY JASON VEDDER
Active
Individual
DR. TRACY JASON VEDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC23606
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC23606
STATE LICENSE
CA
Enumeration date
08/08/2006
Last updated
11/10/2008
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