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Individual
STEVEN GENTRY
Active
Individual
STEVEN GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC22677
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZAT174
BLUE SHIELD
CA
Enumeration date
10/06/2006
Last updated
11/18/2011
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