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Individual
DEMETRIOS AGIS KYDONIEUS
Active
Individual
DEMETRIOS AGIS KYDONIEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00566000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58-1893942
FEDERAL TAX ID
NJ
Enumeration date
12/15/2006
Last updated
12/17/2018
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