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Individual
MR. MARK MITCHELL DEDERICHS
Active
Individual
MR. MARK MITCHELL DEDERICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC LAC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
16330
CA
171100000X
Acupuncturist
Primary
9187
CA
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
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