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Individual
HENRY M REYNOLDS
Active
Individual
HENRY M REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.P.A
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194712463
P10
FL
01
—
22452
BLUE CROSS BLUE SHEILD
FL
05
—
381956600
—
FL
Enumeration date
10/03/2005
Last updated
08/18/2015
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