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Individual
PERCELL J SANDERS III
Active
Individual
PERCELL J SANDERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12620
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH12620
MEDICAL LICENSE
FL
Enumeration date
10/22/2018
Last updated
10/22/2018
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